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General NPI Number Information
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NPI Number | 1669214912
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Entity Type | Individual
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Provider Name | MS. EMILY J OTT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 2115 GRAND AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8007
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Country | US
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Telephone | 970-254-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 PATTERSON RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-8820
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Country | US
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Telephone | 970-822-4141
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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 | 0001791
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License Number State | CO
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