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General NPI Number Information
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NPI Number | 1710747282
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Entity Type | Individual
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Provider Name | REBECCA HAAS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 8023 93RD ST SE
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City | BISMARCK
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State | ND
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Zip | 58504-4132
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Country | US
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Telephone | 701-367-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 4719 SHELBURNE ST STE 5
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City | BISMARCK
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State | ND
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Zip | 58503-5677
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Country | US
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Telephone |
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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 |
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License Number State |
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