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General NPI Number Information
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NPI Number | 1518100023
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Entity Type | Organization
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Legal Business Name | DEBORAH ALLEN
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 4133 MARLWOOD DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2749
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Country | US
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Telephone | 248-682-6923
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 MARLWOOD DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2749
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Country | US
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Telephone | 248-682-6923
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. DEBORAH ALLEN
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Credential | MS, OTR
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Telephone | 248-682-6923
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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 |
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License Number State |
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