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General NPI Number Information
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NPI Number | 1235707886
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Entity Type | Individual
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Provider Name | CAMRYN ADELINE FIELDS OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 1313 E OSBORN RD STE B-240
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City | PHOENIX
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State | AZ
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Zip | 85014-5678
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Country | US
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Telephone | 865-306-3070
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Fax |
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Provider Business Mailing Address
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Address Line | 5110 N 32ND ST APT 312
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City | PHOENIX
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State | AZ
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Zip | 85018-1458
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Country | US
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Telephone | 865-306-3070
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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 | OTH-009240
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License Number State | AZ
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