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General NPI Number Information
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NPI Number | 1700226594
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Entity Type | Organization
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Legal Business Name | FUNCTION JUNCTION REHABILITATION
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 158 COMMERCE PARK DR SUITE B
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City | WESTERVILLE
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State | OH
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Zip | 43082-8294
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Country | US
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Telephone | 614-500-4392
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Fax | 614-500-4383
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Provider Business Mailing Address
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Address Line | 158 COMMERCE PARK DR SUITE B
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City | WESTERVILLE
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State | OH
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Zip | 43082-8294
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Country | US
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Telephone | 614-500-4392
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Fax | 614-500-4383
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | CAROL L WESTERMAN
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Credential | OTR/L
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Telephone | 707-954-1156
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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 007557
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License Number State | OH
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