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General NPI Number Information
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NPI Number | 1649454323
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Entity Type | Individual
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Provider Name | ELIZABETH SARAH RAINBOLT OTR
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Gender | Female
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 4510 27TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1709
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Country | US
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Telephone | 806-785-2464
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Fax | 806-785-2464
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Provider Business Mailing Address
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Address Line | 6806 43RD ST
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City | LUBBOCK
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State | TX
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Zip | 79407-1947
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Country | US
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Telephone | 806-281-5600
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Fax | 806-799-3714
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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 | 110007
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License Number State | TX
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