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General NPI Number Information
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NPI Number | 1649031733
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Entity Type | Individual
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Provider Name | MADISON KILLEEN STEINERLUND OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 712B WHALERS WAY B200
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City | FORT COLLINS
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State | CO
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Zip | 80525
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Country | US
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Telephone | 970-658-0688
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 DOUBLE TREE DR
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City | FORT COLLINS
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State | CO
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Zip | 80521-1128
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Country | US
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Telephone | 909-855-0909
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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 | 0007999
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License Number State | CO
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