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General NPI Number Information
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NPI Number | 1891489514
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Entity Type | Organization
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Legal Business Name | MATRESCENCE OCCUPATIONAL THERAPY, LLC
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1900 STEAMBOAT SPRINGS CV
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City | AUSTIN
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State | TX
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Zip | 78746-7612
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Country | US
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Telephone | 737-235-7730
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Fax |
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Provider Business Mailing Address
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Address Line | 19701 MOORLYNCH AVE
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3461
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Country | US
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Telephone | 832-661-2695
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/OCCUPATIONAL THERAPST
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Name | MRS. GAYLE SCHWEE
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Credential | OTR, MOT, PMH-C
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Telephone | 832-661-2695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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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 |
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License Number State |
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