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General NPI Number Information
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NPI Number | 1720336050
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Entity Type | Individual
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Provider Name | STEPHANIE HENNING ARMBRUSTER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 5730 LAFAYETTE RD.
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City | MEDINA
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State | OH
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Zip | 44212-2559
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Country | US
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Telephone | 330-722-2415
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Fax | 330-722-9684
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Provider Business Mailing Address
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Address Line | 5730 LAFAYETTE RD.
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City | MEDINA
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State | OH
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Zip | 44212-4909
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Country | US
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Telephone | 330-722-2415
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Fax | 330-722-9684
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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 8028
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State | OH
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