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General NPI Number Information
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NPI Number | 1295295624
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Entity Type | Individual
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Provider Name | MADELYN OAKS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 333 S EATON ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-3544
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Country | US
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Telephone | 205-492-8463
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Fax |
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Provider Business Mailing Address
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Address Line | 329 QUEBEC ST UNIT 1
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City | DENVER
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State | CO
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Zip | 80220-6246
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Country | US
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Telephone | 205-492-8463
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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 | OT.0005840
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License Number State | CO
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