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General NPI Number Information
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NPI Number | 1144427410
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Entity Type | Individual
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Provider Name | HEATHER MICHELE BRAINARD O.T.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2270 WARRENSBURG RD
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City | DELAWARE
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State | OH
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Zip | 43015-1336
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Country | US
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Telephone | 740-369-9614
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Fax | 740-363-5881
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Provider Business Mailing Address
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Address Line | 120 STRATON DR
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City | DELAWARE
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State | OH
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Zip | 43015-1199
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Country | US
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Telephone | 740-362-9078
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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 | OT- 6480
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License Number State | OH
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