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General NPI Number Information
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NPI Number | 1740405638
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Entity Type | Individual
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Provider Name | KAREN G MAY OTR
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 324 JOHNSON PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55106-6412
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Country | US
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Telephone | 651-793-3225
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Fax | 651-793-3213
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Provider Business Mailing Address
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Address Line | 2708 IDAHO AVE S
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City | ST LOUIS PARK
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State | MN
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Zip | 55426-3353
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Country | US
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Telephone | 952-926-3827
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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 | 100795
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License Number State | MN
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