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General NPI Number Information
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NPI Number | 1265146658
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Entity Type | Individual
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Provider Name | HALEY MICHELLE GILBERT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 28 HIGH ST
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City | RICHMOND
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State | ME
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Zip | 04357-1332
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Country | US
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Telephone | 207-737-4748
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Fax |
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Provider Business Mailing Address
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Address Line | 8 W POWNAL RD APT B
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City | NORTH YARMOUTH
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State | ME
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Zip | 04097-6817
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Country | US
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Telephone | 617-913-8352
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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-009037
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License Number State | AZ
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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 | OT3915
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License Number State | ME
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