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General NPI Number Information
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NPI Number | 1659748994
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Entity Type | Individual
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Provider Name | SCOTT SCHLAFF OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/21/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 412 E 1ST ST
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City | FLINT
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State | MI
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Zip | 48502-1901
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Country | US
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Telephone | 810-236-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SLATESTONE DR
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City | SAGINAW
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State | MI
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Zip | 48603-2890
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201007741
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License Number State | MI
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