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General NPI Number Information
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NPI Number | 1275821613
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Entity Type | Individual
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Provider Name | MAUREEN GAITOR OTL
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Gender | Female
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 4635 SPRING CANYON HTS APARTMENT 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-9401
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Country | US
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Telephone | 518-441-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 SPRING CANYON HTS APARTMENT 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-9401
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Country | US
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Telephone | 518-441-8524
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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 | 2090
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License Number State | NH
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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 | 10250
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 072.0077695
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3185
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License Number State | CO
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