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General NPI Number Information
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NPI Number | 1184830259
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Entity Type | Individual
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Provider Name | LINDA MAY COLLINS MS, OTR
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 307 SMITH ST
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City | NEW LONDON
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State | WI
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Zip | 54961-1410
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Country | US
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Telephone | 920-982-5440
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Fax | 920-982-0444
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Provider Business Mailing Address
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Address Line | N1590 COUNTY ROAD J
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City | KAUKAUNA
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State | WI
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Zip | 54130-1242
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Country | US
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Telephone | 920-982-5440
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Fax | 920-982-0444
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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 | 1667-026
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License Number State | WI
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