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General NPI Number Information
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NPI Number | 1679425805
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Entity Type | Individual
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Provider Name | STEFANIE ROTH
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Gender | Female
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 4480 RICHMOND RD
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City | WARRENSVILLE HEIGHTS
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State | OH
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Zip | 44128-5777
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Country | US
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Telephone | 216-765-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 870 CHAPEL CIR
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City | MEDINA
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State | OH
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Zip | 44256-3001
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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 | OT.008620
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License Number State | OH
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