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General NPI Number Information
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NPI Number | 1710309430
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Entity Type | Individual
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Provider Name | TRACY OWENS MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 518 S 8TH ST
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City | CAMBRIDGE
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State | OH
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Zip | 43725-2767
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Country | US
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Telephone | 740-439-4019
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Fax |
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Provider Business Mailing Address
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Address Line | 65749 N 77 DR
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9239
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Country | US
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Telephone | 740-680-1803
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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 | OT-6731
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License Number State | OH
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