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General NPI Number Information
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NPI Number | 1568394740
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Entity Type | Individual
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Provider Name | MICHAEL ANDREW UEBBING OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 4800 TABOR ST
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-2112
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Country | US
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Telephone | 303-421-4161
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Fax |
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Provider Business Mailing Address
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Address Line | 10133 SHERRILL BLVD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37932-3347
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Country | US
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Telephone | 865-531-2204
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | OT.0005254
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License Number State | CO
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