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General NPI Number Information
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NPI Number | 1992919245
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Entity Type | Individual
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Provider Name | DONALD TEVES OT
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Gender | Male
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 5980 W 71ST ST SUITE 201
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2711
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Country | US
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Telephone | 317-388-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 7516 BOWLANDER WAY
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City | FORT WAYNE
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State | IN
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Zip | 46835-9147
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Country | US
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Telephone | 917-251-3685
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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 | OC009996
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31004513A
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License Number State | IN
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