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NPI 1609283860

NPI 1609283860 : ANNE M PHILLIPS OT/L : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1609283860
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    Entity Type          |    Individual 
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    Provider Name        |    ANNE M PHILLIPS OT/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/18/2014
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    Last Update Date     |    07/18/2014
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Provider Practice Location Address
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    Address Line         |    10700 MONTGOMERY RD 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45242-3255
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    Country              |    US
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    Telephone            |    513-530-2615
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9998 COBLENTZ AVE NW 
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    City                 |    UNIONTOWN
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    State                |    OH
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    Zip                  |    44685-6871
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    Country              |    US
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    Telephone            |    330-606-9221
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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       |    OH OT-1947
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    License Number State |    OH
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