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General NPI Number Information
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NPI Number | 1982538781
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Entity Type | Individual
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Provider Name | VICKI LYNN UMHOEFER OTR
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | N104W13840 DONGES BAY RD
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City | GERMANTOWN
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State | WI
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Zip | 53022-4430
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Country | US
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Telephone | 262-253-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 4955 HWY 144
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City | HARTFORD
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State | WI
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Zip | 53027-9557
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Country | US
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Telephone | 262-573-1549
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 4051001373
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License Number State | WI
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