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General NPI Number Information
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NPI Number | 1366569162
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Entity Type | Individual
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Provider Name | DIANE MARIA ALLARD IX OTRL
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Gender | Female
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 579 BUCK ISLAND RD
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City | WEST YARMOUTH
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State | MA
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Zip | 02673-3200
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Country | US
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Telephone | 508-957-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 37 WOODVIEW DR
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City | BREWSTER
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State | MA
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Zip | 02631-2904
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Country | US
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Telephone | 508-896-3192
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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 | 8238
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License Number State | MA
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