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NPI 1902436587

NPI 1902436587 : LORA CASASFRANCO OTR/L, CLT : ROCKWOOD, TN

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General NPI Number Information
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    NPI Number           |    1902436587
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    Entity Type          |    Individual 
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    Provider Name        |    LORA CASASFRANCO OTR/L, CLT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/22/2020
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    Last Update Date     |    04/24/2023
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Provider Practice Location Address
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    Address Line         |    267 W END RD 
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    City                 |    ROCKWOOD
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    State                |    TN
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    Zip                  |    37854-7041
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    Country              |    US
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    Telephone            |    653-334-9338
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    Fax                  |    855-952-5846
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Provider Business Mailing Address
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    Address Line         |    267 W END RD 
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    City                 |    ROCKWOOD
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    State                |    TN
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    Zip                  |    37854-7041
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    Country              |    US
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    Telephone            |    653-334-9338
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    Fax                  |    855-952-5846
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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       |    6456
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    License Number State |    TN
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