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General NPI Number Information
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NPI Number | 1801217112
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Entity Type | Individual
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Provider Name | JOHN PAUL SEARS OTR, PTA
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Gender | Male
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Dates
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Enumeration Date | 01/04/2014
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Last Update Date | 01/04/2014
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Provider Practice Location Address
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Address Line | 2111 NORTON LN
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City | BEDFORD
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State | IN
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Zip | 47421-4522
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Country | US
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Telephone | 812-277-3759
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Fax |
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Provider Business Mailing Address
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Address Line | 9957 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2006
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Country | US
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Telephone | 317-841-7005
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06003117A
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License Number State | IN
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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 | 31005069A
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License Number State | IN
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