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General NPI Number Information
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NPI Number | 1497271647
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Entity Type | Individual
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Provider Name | VICTORIA JOANNE SEAL OTR
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Gender | Female
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Dates
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Enumeration Date | 08/19/2017
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Last Update Date | 08/19/2017
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Provider Practice Location Address
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Address Line | 664 HOWELL ST
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City | PINCKNEY
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State | MI
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Zip | 48169
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Country | US
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Telephone | 734-954-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 3554 RUSH LAKE RD
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City | PINCKNEY
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State | MI
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Zip | 48169-8535
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Country | US
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Telephone | 313-408-0605
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 5201003153
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License Number State | MI
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