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General NPI Number Information
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NPI Number | 1306172549
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Entity Type | Individual
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Provider Name | MARIA SUSANA GUMPEL OT
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Gender | Female
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 2 CHELSEA BLVD
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City | HOUSTON
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State | TX
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Zip | 77006-6202
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Country | US
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Telephone | 713-807-1131
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Fax | 713-807-1141
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Provider Business Mailing Address
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Address Line | 1216 HOWARD LN
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City | BELLAIRE
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State | TX
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Zip | 77401-2706
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Country | US
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Telephone | 713-664-6109
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Fax | 713-807-1141
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 106284
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License Number State | TX
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