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General NPI Number Information
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NPI Number | 1992272280
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Entity Type | Individual
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Provider Name | DANIELLE NOREEN LASLEY MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 5311 ROSEBUD LN
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City | NEWBURGH
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State | IN
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Zip | 47630-9286
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Country | US
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Telephone | 812-909-1961
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Fax | 812-909-2961
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Provider Business Mailing Address
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Address Line | 1003 BURLEW BLVD STE C
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City | OWENSBORO
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State | KY
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Zip | 42303-1799
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Country | US
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Telephone | 270-688-8449
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Fax | 270-240-4840
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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 | 244907
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License Number State | KY
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