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General NPI Number Information
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NPI Number | 1629948518
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Entity Type | Individual
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Provider Name | CHARIS CASEY OTR, OTD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 324 RIVERWALK DR STE 312
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City | SAN MARCOS
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State | TX
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Zip | 78666-6936
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Country | US
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Telephone | 512-268-9130
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Fax |
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Provider Business Mailing Address
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Address Line | 240 HIGHLAND HTS
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City | CANYON LAKE
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State | TX
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Zip | 78133-3515
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Country | US
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Telephone | 210-683-3791
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Fax |
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 122222
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License Number State | TX
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