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General NPI Number Information
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NPI Number | 1114298353
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Entity Type | Individual
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Provider Name | SUSAN M MCCALLUM WINTERS OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 941 LINCOLN AVE SUITE 200 C
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-3062
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Country | US
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Telephone | 970-879-6556
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Fax | 970-300-3112
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Provider Business Mailing Address
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Address Line | PO BOX 776087
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80477-6087
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Country | US
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Telephone | 970-846-5202
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Fax | 970-300-3112
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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 | 973
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License Number State | CO
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