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NPI 1558478602

NPI 1558478602 : CHRISTINE MARIE MCCLAIN OTRL : MONTROSE, NY

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General NPI Number Information
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    NPI Number           |    1558478602
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE MARIE MCCLAIN OTRL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/24/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    VA HUDSON VALLEY HCS 
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    City                 |    MONTROSE
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    State                |    NY
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    Zip                  |    10548
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    Country              |    US
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    Telephone            |    914-737-4400
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    Fax                  |    914-788-4372
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Provider Business Mailing Address
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    Address Line         |    73 WEST CENTER STREET 
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    City                 |    BEACON
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    State                |    NY
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    Zip                  |    12508
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    Country              |    US
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    Telephone            |    845-838-1189
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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       |    0116541
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    License Number State |    NY
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