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NPI 1639411200

NPI 1639411200 : MEGAN AARSVOLD MA OTR/L : SAVAGE, MN

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General NPI Number Information
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    NPI Number           |    1639411200
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN AARSVOLD MA OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2013
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    Last Update Date     |    03/21/2013
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Provider Practice Location Address
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    Address Line         |    14441 QUEBEC AVE 
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    City                 |    SAVAGE
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    State                |    MN
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    Zip                  |    55378-2556
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    Country              |    US
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    Telephone            |    320-491-9325
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14441 QUEBEC AVE 
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    City                 |    SAVAGE
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    State                |    MN
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    Zip                  |    55378-2556
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    Country              |    US
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    Telephone            |    320-491-9325
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    104038
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    License Number State |    MN
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