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General NPI Number Information
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NPI Number | 1134493828
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Entity Type | Individual
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Provider Name | ANDREA JANE ROBINSON OTR
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Gender | Female
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 13373 PLAZA DEL RIO BLVD
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 480-215-6717
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Fax |
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Provider Business Mailing Address
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Address Line | 10151 W ROSS AVE.
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City | PEORIA
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State | AZ
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Zip | 85382
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Country | US
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Telephone | 602-228-5844
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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 | 2746
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License Number State | AZ
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