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General NPI Number Information
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NPI Number | 1851832406
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Entity Type | Individual
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Provider Name | STUART METTLER O.T.R./L.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 800 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44702-1083
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Country | US
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Telephone | 330-456-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 3990 TYRO ST NE
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City | CANTON
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State | OH
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Zip | 44721-1112
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Country | US
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Telephone | 330-605-7084
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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 | 009350
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License Number State | OH
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