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General NPI Number Information
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NPI Number | 1598764219
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Entity Type | Individual
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Provider Name | WENDY S. HORTON-BIEREMA MA, LLP, OTRL
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Gender | Female
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 605 HOWARD ST
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City | KALAMAZOO
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State | MI
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Zip | 49008-1919
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Country | US
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Telephone | 269-323-8770
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Fax | 269-215-8020
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Provider Business Mailing Address
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Address Line | 2519 SHEFFIELD DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-2211
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Country | US
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Telephone | 269-323-8770
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Fax | 269-215-8020
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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 | 5201002009
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6361002972
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License Number State | MI
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