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General NPI Number Information
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NPI Number | 1326750670
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Entity Type | Individual
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Provider Name | BRITTANY ELISE SMITH OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 100 PIONEERS MEDICAL CENTER DR
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City | MEEKER
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State | CO
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Zip | 81641-3181
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Country | US
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Telephone | 970-878-5047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 359
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City | MEEKER
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State | CO
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Zip | 81641-0359
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Country | US
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Telephone | 970-756-5670
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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.0007681
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License Number State | CO
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