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General NPI Number Information
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NPI Number | 1144976960
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Entity Type | Individual
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Provider Name | MELISSA O'NEILL MOT
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 11545 WARRIOR TRL
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City | GRASS LAKE
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State | MI
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Zip | 49240-9814
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Country | US
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Telephone | 248-660-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 11545 WARRIOR TRL
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City | GRASS LAKE
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State | MI
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Zip | 49240-9814
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Country | US
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Telephone | 248-660-5484
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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 | 5201010058
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License Number State | MI
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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 | OT22852
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License Number State | FL
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 14464
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT0101339
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License Number State | OH
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