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General NPI Number Information
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NPI Number | 1013488402
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Entity Type | Individual
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Provider Name | NABEELA R ASHRAF OTR
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Gender | Female
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Dates
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Enumeration Date | 12/10/2018
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Last Update Date | 12/10/2018
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Provider Practice Location Address
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Address Line | 198 S MAIN ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-7917
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Country | US
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Telephone | 586-477-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 15541 SHERWOOD
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City | FRASER
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State | MI
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Zip | 48026-4707
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Country | US
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Telephone | 248-880-1925
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Fax | 888-349-5629
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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 | 5201006104
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License Number State | MI
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