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General NPI Number Information
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NPI Number | 1750188058
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Entity Type | Individual
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Provider Name | ELIZABETH PITTMAN ALEXANDER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 5617 MCWHINNEY BLVD
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City | LOVELAND
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State | CO
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Zip | 80538-8826
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Country | US
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Telephone | 970-400-9914
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Fax |
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Provider Business Mailing Address
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Address Line | 2527 OWENS AVE UNIT 104
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City | FORT COLLINS
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State | CO
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Zip | 80528-7213
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Country | US
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Telephone | 205-915-0204
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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 | 0008775
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License Number State | CO
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