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General NPI Number Information
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NPI Number | 1437721677
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Entity Type | Individual
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Provider Name | ALLISON MCCRACKEN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 515 E DIVISION ST STE 145
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City | ROCKFORD
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State | MI
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Zip | 49341-1805
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Country | US
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Telephone | 616-863-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 3769 CHEYENNE DR SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1827
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Country | US
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Telephone | 517-414-9255
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5201010979
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License Number State | MI
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