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General NPI Number Information
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NPI Number | 1750518239
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Entity Type | Individual
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Provider Name | TARONE CLAYBROOK OTR
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Gender | Male
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Dates
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Enumeration Date | 06/11/2009
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 3940 LOCKWOOD BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-3522
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Country | US
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Telephone | 330-788-2115
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Fax | 330-788-2115
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Provider Business Mailing Address
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Address Line | PO BOX 3445
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City | BOARDMAN
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State | OH
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Zip | 44513-3445
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Country | US
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Telephone | 330-788-2115
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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 | OT05585
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License Number State | OH
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