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General NPI Number Information
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NPI Number | 1275081853
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Entity Type | Individual
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Provider Name | PAULINE WESTCOTT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 601 COLUMBIA DR
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City | JOHNSON CITY
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State | NY
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Zip | 13790-3302
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Country | US
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Telephone | 607-763-1240
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Fax | 607-763-1252
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Provider Business Mailing Address
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Address Line | 3804 STRUBLE RD
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City | ENDWELL
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State | NY
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Zip | 13760-1144
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Country | US
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Telephone | 607-761-0472
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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 | 006735-1
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License Number State | NY
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