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General NPI Number Information
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NPI Number | 1992255731
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Entity Type | Individual
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Provider Name | CYNTHIA VANDEILEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 700 W PETE ROSE WAY
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City | CINCINNATI
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State | OH
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Zip | 45203-1892
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Country | US
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Telephone | 513-381-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 4110 CAMBRIDGE TRL
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City | BEAVERCREEK
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State | OH
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Zip | 45430-2308
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Country | US
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Telephone | 937-312-5898
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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 | OT008509
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License Number State | OH
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