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General NPI Number Information
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NPI Number | 1013931955
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Entity Type | Individual
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Provider Name | MAUREEN ELIZABETH PALMER OTR, CIMT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 25811 W 12 MILE RD SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1896
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Country | US
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Telephone | 248-356-7415
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Fax | 248-356-7416
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Provider Business Mailing Address
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Address Line | 38062 ROSS ST
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City | LIVONIA
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State | MI
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Zip | 48154-4865
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Country | US
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Telephone | 734-462-8447
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Fax | 734-542-9947
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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 | MP000744
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License Number State | MI
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