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NPI 1811723174

NPI 1811723174 : LANI RINEHARDT OTR/L, OTD : BEAN STATION, TN

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General NPI Number Information
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    NPI Number           |    1811723174
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    Entity Type          |    Individual 
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    Provider Name        |    LANI RINEHARDT OTR/L, OTD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/12/2024
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    Last Update Date     |    05/30/2025
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Provider Practice Location Address
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    Address Line         |    2250 BROADWAY DR STE A1 
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    City                 |    BEAN STATION
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    State                |    TN
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    Zip                  |    37708-2016
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    Country              |    US
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    Telephone            |    865-935-8111
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    Fax                  |    423-822-5767
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Provider Business Mailing Address
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    Address Line         |    325 W MORRIS BLVD STE B 
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    City                 |    MORRISTOWN
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    State                |    TN
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    Zip                  |    37813-2237
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    Country              |    US
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    Telephone            |    423-375-8907
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    Fax                  |    423-822-5514
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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       |    8121
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    License Number State |    TN
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