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General NPI Number Information
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NPI Number | 1063980365
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Entity Type | Individual
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Provider Name | ERINN MADDEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 103 COUNTY RD
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City | BEDFORD
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State | NH
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Zip | 03110-6202
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Country | US
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Telephone | 603-472-3755
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Fax |
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Provider Business Mailing Address
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Address Line | 166 HICKORY ST
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City | MANCHESTER
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State | NH
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Zip | 03103-7744
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Country | US
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Telephone | 603-767-5368
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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 | 2823
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2823
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License Number State | NH
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