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General NPI Number Information
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NPI Number | 1376848820
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Entity Type | Individual
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Provider Name | LAURIE ANN QUINN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 901 45TH ST KIMMEL BUILDING
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2413
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Country | US
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Telephone | 561-844-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 SHAUGHNESSY DR
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City | WELLINGTON
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State | FL
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Zip | 33414-6499
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Country | US
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Telephone | 561-596-1070
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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 | OT13953
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License Number State | FL
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