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General NPI Number Information
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NPI Number | 1649090614
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Entity Type | Individual
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Provider Name | DANIELLE SAAM MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 3601 S CHICAGO AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-3708
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Country | US
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Telephone | 414-764-4100
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Fax |
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Provider Business Mailing Address
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Address Line | N55W17749 HIGH BLUFF DR UNIT C
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-1296
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Country | US
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Telephone | 262-914-6070
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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 | 8730-26
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License Number State | WI
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