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General NPI Number Information
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NPI Number | 1235721580
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Entity Type | Individual
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Provider Name | ERIN SCANLON MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 5647 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4019
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Country | US
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Telephone | 727-967-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 4327 HARRISON ST NW APT 1
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City | WASHINGTON
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State | DC
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Zip | 20015-2120
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Country | US
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Telephone | 301-806-6145
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | OT21983
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT010001798
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT21983
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License Number State | FL
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