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General NPI Number Information
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NPI Number | 1063533099
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Entity Type | Individual
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Provider Name | FRANCES MARIE BRUEN OTR
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 237 MILLBURY ST
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City | WORCESTER
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State | MA
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Zip | 01610-2177
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Country | US
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Telephone | 508-755-1228
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Fax | 508-797-3477
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Provider Business Mailing Address
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Address Line | 46 MORGAN ST
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City | WORCESTER
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State | MA
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Zip | 01606-1337
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Country | US
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Telephone | 508-853-4611
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 836
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License Number State | MA
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