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General NPI Number Information
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NPI Number | 1891845376
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Entity Type | Organization
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Legal Business Name | LUBBOCK HAND THERAPY PLLC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 6310 GENOA AVE STE G
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City | LUBBOCK
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State | TX
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Zip | 79424-2708
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Country | US
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Telephone | 806-771-7451
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Fax | 806-771-7451
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Provider Business Mailing Address
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Address Line | PO BOX 64240
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City | LUBBOCK
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State | TX
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Zip | 79464-4240
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Country | US
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Telephone | 806-771-7451
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Fax | 806-771-7448
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Authorized Official
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Title or Position | THERAPIST-OWNER
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Name | JUNE MARIE FENNERTY
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Credential | OTR, CHT
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Telephone | 806-777-8605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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