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General NPI Number Information
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NPI Number | 1023655651
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Entity Type | Individual
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Provider Name | ALEXANDRA LEIGH TOUCHETTE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 300 E WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1014
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Country | US
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Telephone | 989-463-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 LACEY ST
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-5230
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Country | US
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Telephone |
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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 | 5201013776
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License Number State | MI
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