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General NPI Number Information
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NPI Number | 1699316448
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Entity Type | Individual
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Provider Name | TEODORA SOBIC OTR
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Gender | Female
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 15400 S WOODLAND RD
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City | CLEVELAND
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State | OH
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Zip | 44120-1850
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Country | US
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Telephone | 216-295-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 6490 STATE RD APT A12
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City | PARMA
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State | OH
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Zip | 44134-4187
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Country | US
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Telephone | 440-390-9832
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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 | OT010731
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License Number State | OH
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