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General NPI Number Information
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NPI Number | 1710474812
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Entity Type | Individual
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Provider Name | LINDA ANN JENSEN OTR
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 644 S HOWELL
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City | PINCKNEY
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State | MI
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Zip | 48169
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Country | US
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Telephone | 734-954-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 3534 WINDWHEEL POINT DR
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City | PINCKNEY
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State | MI
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Zip | 48169-9314
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Country | US
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Telephone | 517-304-5700
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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 | 5201001207
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License Number State | MI
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