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General NPI Number Information
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NPI Number | 1336680933
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Entity Type | Individual
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Provider Name | DENISE ROWE OTRL
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Gender | Female
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 3901 BEAUBIEN ST
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-745-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 40793 VILLAGE WOOD RD
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City | NOVI
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State | MI
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Zip | 48375-4469
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Country | US
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Telephone | 248-974-6541
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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 | 5201009805
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License Number State | MI
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