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General NPI Number Information
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NPI Number | 1073386181
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Entity Type | Individual
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Provider Name | CHLOE PERRIZO OTD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2595
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Country | US
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Telephone | 651-254-4912
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Fax |
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Provider Business Mailing Address
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Address Line | 337 WASHINGTON AVE N APT 231
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2699
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Country | US
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Telephone | 763-656-3030
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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 | 6051
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License Number State | MN
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