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General NPI Number Information
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NPI Number | 1962015511
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Entity Type | Individual
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Provider Name | TARA LOOKABAUGH OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 60 WEST ST
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City | GENEVA
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State | OH
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Zip | 44041-9723
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Country | US
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Telephone | 440-539-5540
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Fax |
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Provider Business Mailing Address
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Address Line | 546 ROUTE 380
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City | MURRYSVILLE
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State | PA
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Zip | 15668-2200
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Country | US
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Telephone | 724-681-6444
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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 |
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License Number State |
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