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General NPI Number Information
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NPI Number | 1699099622
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Entity Type | Individual
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Provider Name | CHRISTINE ELLEN SCHOENBORN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 6 OAK AVE SUITE 304
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2628
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Country | US
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Telephone | 413-535-5048
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Fax |
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Provider Business Mailing Address
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Address Line | 168 DENSLOW RD
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-3188
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Country | US
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Telephone |
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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 | 4034
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License Number State | MA
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