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General NPI Number Information
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NPI Number | 1801317771
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Entity Type | Individual
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Provider Name | LAURA POLLOCK OTR
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 2720 E RIVER RD
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City | TUCSON
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State | AZ
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Zip | 85718-6623
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Country | US
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Telephone | 520-729-1069
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Fax |
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Provider Business Mailing Address
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Address Line | 10121 E ARIZMO ST
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City | TUCSON
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State | AZ
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Zip | 85748-1813
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Country | US
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Telephone |
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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 | 5588
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License Number State | AZ
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