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General NPI Number Information
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NPI Number | 1902009871
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Entity Type | Individual
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Provider Name | KATHY P. GRIEPENSTROH LMT
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 12198 N COUNTY ROAD 600 E
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City | LAMAR
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State | IN
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Zip | 47550-7267
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Country | US
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Telephone | 812-529-8378
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Fax | 812-529-8360
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Provider Business Mailing Address
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Address Line | 12198 N COUNTY ROAD 600 E
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City | LAMAR
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State | IN
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Zip | 47550-7267
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Country | US
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Telephone | 812-529-8378
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Fax | 812-529-8360
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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