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General NPI Number Information
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NPI Number | 1245442664
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Entity Type | Individual
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Provider Name | MARGARET BECKSTROM KUTNICK OTR
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Gender | Female
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 E PROVINCIAL HOUSE DR
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City | LANSING
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State | MI
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Zip | 48910-4884
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Country | US
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Telephone | 517-882-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 45441 EMBASSY CT
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City | CANTON
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State | MI
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Zip | 48187-1540
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Country | US
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Telephone | 734-453-0335
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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 | 5201003315
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2338
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License Number State | NM
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