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General NPI Number Information
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NPI Number | 1689884470
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Entity Type | Individual
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Provider Name | MARGO JANET PHILLIPS OTR
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 S BALLENGER HWY MCLAREN REGIONAL MEDICAL CENTER
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City | FLINT
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State | MI
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Zip | 48532-3685
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Country | US
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Telephone | 810-342-2360
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 BONNIE DR
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City | FLUSHING
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State | MI
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Zip | 48433-2309
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Country | US
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Telephone | 810-659-7546
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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 | 5201000222
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License Number State | MI
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