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NPI 1407659469

NPI 1407659469 : LEAH SCHROEDER OTR/L : NORTH BERWICK, ME

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General NPI Number Information
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    NPI Number           |    1407659469
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH SCHROEDER OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/27/2025
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    Last Update Date     |    03/27/2025
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Provider Practice Location Address
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    Address Line         |    47 ELM ST 
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    City                 |    NORTH BERWICK
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    State                |    ME
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    Zip                  |    03906-6792
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    Country              |    US
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    Telephone            |    207-676-2242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    371 PREBLE ST APT 4 
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    City                 |    SOUTH PORTLAND
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    State                |    ME
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    Zip                  |    04106-3016
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    Country              |    US
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    Telephone            |    
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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       |    OT4398
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    License Number State |    ME
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