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General NPI Number Information
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NPI Number | 1427076132
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Entity Type | Individual
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Provider Name | GAIL E HUECKER MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 335 NE 10TH AVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-4456
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Country | US
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Telephone | 352-795-5552
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Fax | 352-795-7751
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Provider Business Mailing Address
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Address Line | 124 JONQUIL CT
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City | MOORESVILLE
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State | NC
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Zip | 28117-6677
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Country | US
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Telephone | 704-696-8344
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | OT8510
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT8510
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9010
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License Number State | NC
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