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General NPI Number Information
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NPI Number | 1831237544
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Entity Type | Individual
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Provider Name | TAMI LEE THORNTON OTR
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 120 E. WALNUT STREET
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-1312
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Country | US
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Telephone | 317-226-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 12037 EAGLEVIEW DR
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City | ZIONSVILLE
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State | IN
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Zip | 46077-4621
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Country | US
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Telephone | 602-761-0325
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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 | 31006571A
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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 | 3317
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License Number State | AZ
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