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General NPI Number Information
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NPI Number | 1215892310
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Entity Type | Individual
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Provider Name | MADISON OBERG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2501 DALLAS ST STE 260
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City | AURORA
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State | CO
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Zip | 80010-1043
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Country | US
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Telephone | 720-900-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 CHETWOOD CIR APT 202
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City | TIMONIUM
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State | MD
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Zip | 21093-2457
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0009170
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License Number State | CO
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