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General NPI Number Information
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NPI Number | 1689715708
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Entity Type | Individual
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Provider Name | REX L TINCH OTR
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 10/30/2013
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Provider Practice Location Address
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Address Line | 460 YELLOW CREEK DR
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9378
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Country | US
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Telephone | 269-429-0604
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 314
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City | SAWYER
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State | MI
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Zip | 49125-0314
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Country | US
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Telephone | 269-429-0604
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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 | OT8469
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT31002968A
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License Number State | IN
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