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General NPI Number Information
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NPI Number | 1598967085
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Entity Type | Individual
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Provider Name | BRIAN SCOTT BAXTER OT
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 173 MIDDLE ST REHABILITATION SERVICES
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City | LANCASTER
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State | NH
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Zip | 03584-3508
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Country | US
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Telephone | 603-788-5249
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Fax | 603-788-5069
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Provider Business Mailing Address
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Address Line | 56 TUXETTE ROAD
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City | THORNTON
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State | NH
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Zip | 03223-0000
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Country | US
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Telephone | 603-726-4298
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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 | 1269
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License Number State | NH
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