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NPI 1386760601

NPI 1386760601 : KAREN MELINDA WARHIT O T R : BROOKFIELD, CT

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General NPI Number Information
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    NPI Number           |    1386760601
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN MELINDA WARHIT O T R
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    777 FEDERAL RD SUITE 2
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    City                 |    BROOKFIELD
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    State                |    CT
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    Zip                  |    06804-2038
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    Country              |    US
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    Telephone            |    203-775-0306
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    Fax                  |    203-775-3389
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Provider Business Mailing Address
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    Address Line         |    43 OLD BRIDGE RD 
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    City                 |    BROOKFIELD
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    State                |    CT
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    Zip                  |    06804-1212
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    Country              |    US
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    Telephone            |    203-775-2400
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    Fax                  |    203-775-5030
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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       |    CT00370
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    License Number State |    CT
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