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NPI 1881979524

NPI 1881979524 : TERESA ANNE KRIEGER OTR : RICHARDSON, TX

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General NPI Number Information
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    NPI Number           |    1881979524
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    Entity Type          |    Individual 
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    Provider Name        |    TERESA ANNE KRIEGER OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2011
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    Last Update Date     |    01/29/2013
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Provider Practice Location Address
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    Address Line         |    1112 N FLOYD RD STE 9 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-4243
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    Country              |    US
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    Telephone            |    972-470-5855
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    Fax                  |    972-470-5875
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Provider Business Mailing Address
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    Address Line         |    1112 N FLOYD RD STE 9 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75080-4243
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    Country              |    US
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    Telephone            |    972-470-5855
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    Fax                  |    972-470-5875
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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        |    273Y00000X
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    Taxonomy Name        |    Rehabilitation Hospital Unit
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    License Number       |    12187
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    12187
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    107920
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    License Number State |    TX
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