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General NPI Number Information
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NPI Number | 1891860045
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Entity Type | Individual
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Provider Name | DALAINE BARRON FLETCHER OTR
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1324 BROWN ST STE 100
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1422
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Country | US
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Telephone | 972-938-3476
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Fax | 972-938-3478
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Provider Business Mailing Address
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Address Line | 848 NUECES TRL
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-5555
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Country | US
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Telephone | 972-723-0774
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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 | 100503
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License Number State | TX
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