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General NPI Number Information
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NPI Number | 1851649537
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Entity Type | Individual
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Provider Name | THANH HA THI BUI OT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 903 E HOUSTON ST
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City | CLEVELAND
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State | TX
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Zip | 77327-4602
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Country | US
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Telephone | 281-593-3838
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Fax | 281-593-3762
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Provider Business Mailing Address
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Address Line | 27919 BRACKEN HURST DR
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City | KATY
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State | TX
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Zip | 77494-5311
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Country | US
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Telephone | 504-264-8013
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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 | 114955
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License Number State | TX
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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 | Z12172
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License Number State | LA
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