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General NPI Number Information
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NPI Number | 1831224831
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Entity Type | Individual
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Provider Name | JULIE ELLEN GRASHOFF LOTR
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10525 JEFFERSON HWY
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City | BATON ROUGE
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State | LA
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Zip | 70809-2747
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Country | US
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Telephone | 225-235-4088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84522
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City | BATON ROUGE
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State | LA
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Zip | 70884-4522
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Country | US
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Telephone | 225-235-4088
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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 | Z11721
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License Number State | LA
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