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General NPI Number Information
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NPI Number | 1649253436
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Entity Type | Individual
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Provider Name | MARK ALLAN MAKAROWSKI OCCUPATIONAL THERAPI
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 810 29TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-4320
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Country | US
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Telephone | 916-447-2978
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Fax | 916-447-2980
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Provider Business Mailing Address
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Address Line | 810 29TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95816-4320
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Country | US
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Telephone | 916-447-2978
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Fax | 916-447-2980
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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 | OT3261
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License Number State | CA
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