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General NPI Number Information
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NPI Number | 1730670522
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Entity Type | Organization
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Legal Business Name | STARR OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/29/2018
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Provider Practice Location Address
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Address Line | 600 W CANALES BROTHERS STE A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582
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Country | US
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Telephone | 956-735-6329
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Fax | 956-278-3222
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Provider Business Mailing Address
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Address Line | 2451 LADY PALM DR
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-3472
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Country | US
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Telephone | 956-735-6329
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Fax | 956-278-3222
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | JESSICA L MARICHALAR
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Credential | OTR
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Telephone | 956-735-6329
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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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