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General NPI Number Information
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NPI Number | 1942358429
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Entity Type | Individual
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Provider Name | DEBORAH L TODD OTR,L
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8450 OLIVE AVE
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City | MOHAVE VALLEY
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State | AZ
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Zip | 86440-9214
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Country | US
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Telephone | 928-768-4538
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Fax |
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Provider Business Mailing Address
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Address Line | 1852 COMBAT DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86403-7451
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Country | US
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Telephone | 928-854-6362
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2607
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License Number State | AZ
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