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General NPI Number Information
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NPI Number | 1922711886
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Entity Type | Organization
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Legal Business Name | MAGNIFY LLC
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 7511 HARWOOD AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-2606
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Country | US
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Telephone | 610-613-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 7511 HARWOOD AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-2606
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Country | US
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Telephone | 610-613-1387
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CAROLYN K CALLAHAN
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Credential | OTR/L, SCLV
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Telephone | 610-613-1387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number |
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License Number State |
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