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General NPI Number Information
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NPI Number | 1356862957
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Entity Type | Individual
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Provider Name | BARBARA ANN MONTGOMERY MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 261 RICHMOND RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-4422
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Country | US
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Telephone | 866-651-1658
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Fax |
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Provider Business Mailing Address
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Address Line | 2168 THURMAN AVE APT WEST
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City | CLEVELAND
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State | OH
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Zip | 44113-3639
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Country | US
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Telephone | 724-272-3110
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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 | OT009819
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License Number State | OH
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