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General NPI Number Information
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NPI Number | 1306553292
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Entity Type | Individual
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Provider Name | ELIZABETH S MAURER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 12701 N MAIN ST
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City | EL MIRAGE
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State | AZ
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Zip | 85335-2600
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Country | US
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Telephone | 814-591-5811
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 TREASURE LK
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City | DU BOIS
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State | PA
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Zip | 15801-9041
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Country | US
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Telephone | 814-591-5811
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 0007936
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License Number State | CO
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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 | 009630
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License Number State | AZ
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