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General NPI Number Information
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NPI Number | 1134529142
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Entity Type | Individual
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Provider Name | MICHELLE MCKAY OTR
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Gender | Female
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 1335 S GUILFORD RD
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City | CARMEL
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State | IN
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Zip | 46032-2999
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Country | US
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Telephone | 877-556-0364
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Fax |
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Provider Business Mailing Address
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Address Line | 15285 SMITHFIELD DR
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City | WESTFIELD
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State | IN
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Zip | 46074-8069
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Country | US
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Telephone | 317-529-9575
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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 | 31003042A
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License Number State | IN
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