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General NPI Number Information
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NPI Number | 1891108635
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Entity Type | Individual
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Provider Name | KARLA CHRISTENSEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 06/10/2014
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Provider Practice Location Address
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Address Line | 750 E LOUISIANA ST
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-9501
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Country | US
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Telephone | 715-483-2713
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Fax |
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Provider Business Mailing Address
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Address Line | 10579 BLUFF ST
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City | CHISAGO CITY
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State | MN
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Zip | 55013-9674
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Country | US
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Telephone | 651-207-7614
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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 | 5473-26
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License Number State | WI
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