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General NPI Number Information
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NPI Number | 1215329768
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Entity Type | Individual
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Provider Name | JEAN CONNER-SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 3145 W CLARK RD SUITE 102
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City | YPSILANTI
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State | MI
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Zip | 48197-1120
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Country | US
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Telephone | 734-528-9760
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Fax | 734-528-9761
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Provider Business Mailing Address
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Address Line | 1665 PLYMOUTH RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-1825
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Country | US
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Telephone | 734-214-6600
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Fax | 734-214-6655
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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 | 5201000294
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License Number State | MI
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