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NPI 1366744302

NPI 1366744302 : TRICIA E ALBERT OTR/L : ARUNDEL, ME

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General NPI Number Information
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    NPI Number           |    1366744302
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    Entity Type          |    Individual 
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    Provider Name        |    TRICIA E ALBERT OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/24/2010
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    Last Update Date     |    09/12/2023
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Provider Practice Location Address
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    Address Line         |    39 LIMERICK RD 
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    City                 |    ARUNDEL
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    State                |    ME
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    Zip                  |    04046-8158
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    Country              |    US
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    Telephone            |    207-985-1861
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19 SAGE BRUSH DR 
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    City                 |    SCARBOROUGH
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    State                |    ME
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    Zip                  |    04074-9165
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    Country              |    US
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    Telephone            |    207-808-9253
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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       |    OT815
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    License Number State |    ME
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