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General NPI Number Information
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NPI Number | 1639586696
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Entity Type | Individual
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Provider Name | RICHARD STEELE
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Gender | Male
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 4531 COLUMBUS RD
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City | CENTERBURG
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State | OH
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Zip | 43011-9401
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Country | US
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Telephone | 740-625-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 8254 PLEASANTVILLE RD NE
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City | THORNVILLE
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State | OH
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Zip | 43076-8703
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 04790
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License Number State | OH
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