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NPI 1619276813

NPI 1619276813 : CARRIE BETH CURRY OTR/L : COEUR D ALENE, ID

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General NPI Number Information
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    NPI Number           |    1619276813
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    Entity Type          |    Individual 
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    Provider Name        |    CARRIE BETH CURRY OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2011
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    Last Update Date     |    09/09/2015
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Provider Practice Location Address
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    Address Line         |    210 W LACROSSE AVE 
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    City                 |    COEUR D ALENE
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    State                |    ID
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    Zip                  |    83814-2403
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    Country              |    US
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    Telephone            |    541-389-7499
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 295 
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    City                 |    CAREY
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    State                |    OH
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    Zip                  |    43316-0295
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    Country              |    US
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    Telephone            |    808-344-3019
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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       |    1500
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1079
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    License Number State |    HI
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