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General NPI Number Information
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NPI Number | 1376012880
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Entity Type | Individual
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Provider Name | CATHERINE GRAY WELLS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 805 W MIDDLE ST
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City | CHELSEA
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State | MI
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Zip | 48118-1369
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Country | US
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Telephone | 734-433-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2234 NEEDHAM RD
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City | ANN ARBOR
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State | MI
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Zip | 48104-4908
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Country | US
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Telephone | 734-277-0321
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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 | 5201010313
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License Number State | MI
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