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General NPI Number Information
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NPI Number | 1699293191
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Entity Type | Individual
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Provider Name | ALYSSA FARROW
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Gender | Female
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Dates
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Enumeration Date | 09/05/2017
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 13215 RAMPART ST
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City | AUSTIN
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State | TX
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Zip | 78727-3255
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Country | US
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Telephone | 512-843-1453
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Fax | 512-532-9565
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Provider Business Mailing Address
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Address Line | 7400 N LAMAR BLVD APT 1503
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City | AUSTIN
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State | TX
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Zip | 78752-2474
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Country | US
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Telephone | 254-718-1117
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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 | 118581
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License Number State | TX
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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 |
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License Number State | TX
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