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General NPI Number Information
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NPI Number | 1275939233
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Entity Type | Individual
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Provider Name | MICHELLE SAULNIER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 2305 N KIMBALL AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60647-2667
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Country | US
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Telephone | 781-775-1782
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 N KIMBALL AVE APT 3
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City | CHICAGO
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State | IL
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Zip | 60647-2667
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Country | US
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Telephone | 781-775-1782
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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 | OC013700
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License Number State | PA
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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 | OT 14183
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License Number State | CA
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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 | 056012345
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License Number State | IL
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