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General NPI Number Information
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NPI Number | 1447587738
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Entity Type | Individual
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Provider Name | MAUREEN ANCAJAS TAGSIP OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/08/2009
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 23005 N 74TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7500
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Country | US
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Telephone | 888-842-3780
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 W GUADALUPE RD APT 617
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City | GILBERT
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State | AZ
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Zip | 85233-3016
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Country | US
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Telephone | 732-403-9448
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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 | 2608
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License Number State | NM
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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 | 113326
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License Number State | TX
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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 | 2009029855
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR00519200
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTH-009417
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License Number State | AZ
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