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General NPI Number Information
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NPI Number | 1649756743
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Entity Type | Individual
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Provider Name | ANN RENEE HOADLEY
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 1285 CLEAVER RD
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City | CARO
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State | MI
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Zip | 48723-9241
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Country | US
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Telephone | 989-672-0518
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Fax | 989-672-0887
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Provider Business Mailing Address
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Address Line | 2080 LIBERTY ST
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City | FAIRGROVE
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State | MI
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Zip | 48733-5104
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Country | US
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Telephone | 989-282-5031
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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 | 5201007488
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License Number State | MI
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