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General NPI Number Information
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NPI Number | 1427338631
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Entity Type | Individual
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Provider Name | GINA MARIE VLOET OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 32531 N SCOTTSDALE RD SUITE 105-162
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1519
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Country | US
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Telephone | 480-488-3946
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Fax | 480-948-1323
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Provider Business Mailing Address
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Address Line | 13401 N 58TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3707
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Country | US
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Telephone | 602-943-2942
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Fax | 602-943-2942
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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 | 1542
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License Number State | AZ
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