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General NPI Number Information
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NPI Number | 1871655860
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Entity Type | Individual
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Provider Name | NANCY BRISKI OTR
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2575 7TH ST S
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City | LA CROSSE
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State | WI
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Zip | 54601-5249
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Country | US
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Telephone | 608-775-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 810 S 12TH ST
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City | LA CRESCENT
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State | MN
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Zip | 55947-1407
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Country | US
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Telephone |
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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 | 3669-026
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License Number State | WI
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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 | 102923
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License Number State | MN
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