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General NPI Number Information
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NPI Number | 1326562471
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Entity Type | Individual
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Provider Name | AUBREY ROXANNE MCCULLEY OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7355 W ORANGEWOOD AVE
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City | GLENDALE
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State | AZ
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Zip | 85303-1645
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Country | US
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Telephone | 623-237-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 8530 N 22ND AVE APT 2121
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City | PHOENIX
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State | AZ
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Zip | 85021-6035
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Country | US
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Telephone | 520-891-6085
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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 | 7088
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License Number State | AZ
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