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General NPI Number Information
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NPI Number | 1780383018
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Entity Type | Individual
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Provider Name | KRISTEN TRZCINSKI
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 20311 PEMBERVILLE RD
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City | PEMBERVILLE
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State | OH
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Zip | 43450-9413
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Country | US
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Telephone | 419-833-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 145 S SAINT CLAIR ST UNIT 3
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City | TOLEDO
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State | OH
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Zip | 43604-9001
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Country | US
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Telephone | 419-376-6193
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA005420
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License Number State | OH
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