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General NPI Number Information
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NPI Number | 1366732166
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Entity Type | Individual
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Provider Name | MARY TERESE NORTON OT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 600 PARDEE RD
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City | ROCHESTER
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State | NY
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Zip | 14609-2810
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Country | US
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Telephone | 585-339-1321
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Fax |
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Provider Business Mailing Address
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Address Line | 87 ROUGE RD
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City | ROCHESTER
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State | NY
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Zip | 14623-4125
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Country | US
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Telephone | 585-359-1909
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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 | 005426
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License Number State | NY
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