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General NPI Number Information
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NPI Number | 1114592110
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Entity Type | Organization
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Legal Business Name | OWN YOUR MOTHERHOOD
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 2651 N YORK ST
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City | DENVER
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State | CO
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Zip | 80205-4662
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Country | US
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Telephone | 208-201-5345
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Fax |
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Provider Business Mailing Address
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Address Line | 2651 N YORK ST
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City | DENVER
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State | CO
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Zip | 80205-4662
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Country | US
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Telephone | 208-201-5345
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | ANNIE CLOSE
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Credential | OT
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Telephone | 208-201-5345
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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 |
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License Number State |
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