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General NPI Number Information
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NPI Number | 1063902187
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Entity Type | Individual
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Provider Name | WENDY DORSHANN RILEY-HILL OT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 19933 W 13 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1024
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Country | US
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Telephone | 248-203-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 45796 BRISTOL CIR
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City | NOVI
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State | MI
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Zip | 48377-3900
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Country | US
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Telephone | 248-464-0875
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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 | 5201003766
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License Number State | MI
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