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NPI 1326021791

NPI 1326021791 : ANNETTE MARIE PAINTER OTR/L : SEBRING, FL

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General NPI Number Information
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    NPI Number           |    1326021791
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    Entity Type          |    Individual 
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    Provider Name        |    ANNETTE MARIE PAINTER OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    123 US HIGHWAY 27 N 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33870-2100
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    Country              |    US
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    Telephone            |    863-471-6303
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    Fax                  |    863-471-1251
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Provider Business Mailing Address
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    Address Line         |    214 QUAIL AVE 
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    City                 |    SEBRING
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    State                |    FL
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    Zip                  |    33872-3727
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    Country              |    US
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    Telephone            |    863-471-1913
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    Fax                  |    863-471-1251
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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       |    OT6662
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    License Number State |    FL
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