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General NPI Number Information
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NPI Number | 1700912615
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Entity Type | Organization
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Legal Business Name | PIEDMONT THERAPY INSTITUTE
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 2240 N CLASSEN BLVD STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5811
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Country | US
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Telephone | 405-606-3311
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Fax | 405-606-3081
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Provider Business Mailing Address
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Address Line | PO BOX 3076
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City | OKLAHOMA CITY
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State | OK
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Zip | 73101-3076
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Country | US
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Telephone | 405-606-3311
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Fax | 405-606-3081
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Authorized Official
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Title or Position | OWNER
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Name | PAULA MICHELLE LEWIS
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Credential | OTR
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Telephone | 405-606-3311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3941
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT645
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License Number State | OK
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