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General NPI Number Information
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NPI Number | 1144432451
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Entity Type | Individual
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Provider Name | ANN-MARIE BEAULAC OT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 8500 BLUFFSTONE CV
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City | AUSTIN
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State | TX
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Zip | 78759-7808
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Country | US
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Telephone | 774-533-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 BLUFFSTONE CV BLDG A
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City | AUSTIN
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State | TX
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Zip | 78759-7808
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 001962
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 001962
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License Number State | CT
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