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General NPI Number Information
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NPI Number | 1730128703
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Entity Type | Organization
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Legal Business Name | ADVANCED HAND THERAPY INC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 3270 20TH ST S
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City | FARGO
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State | ND
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Zip | 58104-5917
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Country | US
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Telephone | 701-293-7408
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Fax | 701-235-2099
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Provider Business Mailing Address
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Address Line | 3270 20TH ST S
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City | FARGO
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State | ND
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Zip | 58104-5917
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Country | US
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Telephone | 701-293-7408
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Fax | 701-235-2099
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MARGARET S GILBERTSON
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Credential |
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Telephone | 701-293-7408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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