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General NPI Number Information
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NPI Number | 1497231260
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Entity Type | Individual
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Provider Name | AMBER LAUREN DREON MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 4501 N BLAGG RD
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City | PAHRUMP
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State | NV
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Zip | 89060-1946
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Country | US
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Telephone | 775-751-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 888 RUSTIC VILLAGE LN
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City | LAKE ORION
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State | MI
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Zip | 48362-2141
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Country | US
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Telephone | 248-568-7294
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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 | 5201009941
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License Number State | MI
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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 | 0005399
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License Number State | CO
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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 | OT-2182
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License Number State | NV
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