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General NPI Number Information
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NPI Number | 1689870461
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Entity Type | Individual
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Provider Name | CHRISTINE JEAN DICK OTR
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Gender | Female
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8820 HORIZON BLVD NE REHAB DEPARTMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1689
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Country | US
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Telephone | 505-823-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 4008 N GRIMES ST PMB 160
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City | HOBBS
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State | NM
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Zip | 88240-0903
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Country | US
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Telephone | 519-827-5831
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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 | 2233
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License Number State | NM
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