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General NPI Number Information
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NPI Number | 1831385368
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Entity Type | Individual
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Provider Name | AARON D WEBER OCCUPATIONAL THERAPI
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Gender | Male
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 1225 4TH ST
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City | BELOIT
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State | WI
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Zip | 53511-4437
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Country | US
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Telephone | 608-361-3043
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Fax | 608-361-3080
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Provider Business Mailing Address
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Address Line | 2245 TUMBLEWEED LN
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City | BELOIT
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State | WI
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Zip | 53511-7004
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Country | US
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Telephone | 608-368-1408
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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 | 3267-26
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | W160000601398 (DPI)
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License Number State | WI
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