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General NPI Number Information
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NPI Number | 1780473512
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Entity Type | Individual
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Provider Name | DANIELLE D MENTING OTR
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | S30W24784 W SUNSET DR STE E
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City | WAUKESHA
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State | WI
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Zip | 53189-7013
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Country | US
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Telephone | 262-698-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 104 N 74TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53213-3627
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Country | US
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Telephone | 920-428-6978
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 5302-26
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5302-26
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License Number State | WI
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