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General NPI Number Information
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NPI Number | 1023681533
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Entity Type | Individual
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Provider Name | DAVID M MICHALSKI OTR/L
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Gender | Male
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 10320 COTTONWOOD PARK NW STE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-7008
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Country | US
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Telephone | 505-250-5204
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Fax | 505-345-4450
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Provider Business Mailing Address
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Address Line | 3533 LUKE CIR NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-3014
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Country | US
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Telephone | 505-480-7675
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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 | OT4488
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License Number State | NM
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