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General NPI Number Information
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NPI Number | 1952957300
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Entity Type | Individual
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Provider Name | ANNA RENEE FRETZ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 300 CHERRY ST
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City | GENOA
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State | OH
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Zip | 43430-1823
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Country | US
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Telephone | 419-618-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 132 WESTWOOD DR
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City | TIFFIN
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State | OH
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Zip | 44883-1965
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Country | US
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Telephone | 419-618-7727
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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 | OT007400
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License Number State | OH
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