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General NPI Number Information
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NPI Number | 1831424274
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Entity Type | Individual
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Provider Name | HESTER CC CRISLER LOTR
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Gender | Female
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 803 STUBBS AVE STE D
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City | MONROE
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State | LA
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Zip | 71201-5581
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Country | US
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Telephone | 318-388-8414
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Fax | 318-388-8558
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Provider Business Mailing Address
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Address Line | 7358 EASTLAKE RD
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City | STERLINGTON
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State | LA
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Zip | 71280-3214
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Country | US
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Telephone | 318-614-4952
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Fax | 318-388-8558
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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 | OTT.200332
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License Number State | LA
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