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General NPI Number Information
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NPI Number | 1861870669
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Entity Type | Organization
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Legal Business Name | DLH OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 8050 SW WARM SPRINGS ST STE 130
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City | TUALATIN
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State | OR
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Zip | 97062-7401
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Country | US
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Telephone | 503-504-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 8050 SW WARM SPRINGS ST STE 130
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City | TUALATIN
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State | OR
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Zip | 97062-7401
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Country | US
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Telephone | 503-504-0418
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MISS DONNA LYNNE HAMILTON
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Credential | MOT, OTR/L
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Telephone | 503-504-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1048253
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License Number State | OR
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