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General NPI Number Information
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NPI Number | 1447587753
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Entity Type | Individual
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Provider Name | CARRIE ANN SCHLICHT OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 7508 MECAD BOULEVARD SUITE A
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City | CLARKSTON
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State | MI
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Zip | 48348
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Country | US
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Telephone | 248-922-9200
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Fax | 248-922-9700
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Provider Business Mailing Address
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Address Line | 9161 PINE WALK PASS
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City | LINDEN
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State | MI
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Zip | 48451-8578
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Country | US
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Telephone | 810-444-0410
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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 | 5201005416
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License Number State | MI
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