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General NPI Number Information
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NPI Number | 1053713859
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE HARRISON-BEARD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 1577 S IVY ST
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City | CANBY
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State | OR
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Zip | 97013-4334
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Country | US
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Telephone | 503-266-9810
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 SE 33RD PL
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City | PORTLAND
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State | OR
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Zip | 97202-1433
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Country | US
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Telephone | 503-621-8954
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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 | 312233
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License Number State | OR
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