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General NPI Number Information
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NPI Number | 1619370079
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Entity Type | Individual
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Provider Name | MOLLEE A THOMAS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 402 ROGERS PKWY
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City | ROCHESTER
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State | NY
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Zip | 14617-4738
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Country | US
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Telephone | 585-957-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 693 PARK AVE APT 5
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City | ROCHESTER
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State | NY
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Zip | 14607-3060
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Country | US
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Telephone | 585-301-7012
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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 | 019150
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License Number State | NY
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