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General NPI Number Information
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NPI Number | 1821250473
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Entity Type | Organization
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Legal Business Name | FASSHAUER THERAPY SERVICES INC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 11/13/2008
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Provider Practice Location Address
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Address Line | 1900 28TH AVE S 105
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City | BIRMINGHAM
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State | AL
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Zip | 35209-2687
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Country | US
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Telephone | 205-879-9009
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Fax | 205-879-4893
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Provider Business Mailing Address
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Address Line | 1900 28TH AVE S 105
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City | BIRMINGHAM
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State | AL
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Zip | 35209-2687
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Country | US
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Telephone | 205-879-9009
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Fax | 205-879-4893
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MARK FASSHAUER
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Credential | OTR/L
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Telephone | 205-879-9009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 1575
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License Number State | AL
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