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General NPI Number Information
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NPI Number | 1710023627
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Entity Type | Individual
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Provider Name | MOIRA BRIGID MCBRIDE
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 110 AMERICAN ST SUITE 2
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City | SITKA
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State | AK
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Zip | 99835-7534
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Country | US
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Telephone | 907-966-2411
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Fax | 907-966-8606
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Provider Business Mailing Address
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Address Line | PO BOX 1681
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City | SITKA
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State | AK
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Zip | 99835-1681
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Country | US
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Telephone | 907-747-7311
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Fax | 907-747-3368
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 343
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | AK
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