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General NPI Number Information
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NPI Number | 1629385125
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Entity Type | Individual
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Provider Name | SCOTT YADEN M.S., OTR/L
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Gender | Male
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 13319 STEPPING STONE WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299
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Country | US
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Telephone | 502-599-3426
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Fax | 502-618-0591
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Provider Business Mailing Address
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Address Line | 13319 STEPPING STONE WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-5189
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Country | US
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Telephone | 502-599-3426
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Fax | 502-618-0591
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31005045A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | R4562
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License Number State | KY
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