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General NPI Number Information
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NPI Number | 1750424032
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Entity Type | Individual
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Provider Name | CHANTEL LYNN DIONNE-MICHAUD MS, OTRL
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 1 MACKWORTH IS
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City | FALMOUTH
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State | ME
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Zip | 04105-1900
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Country | US
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Telephone | 207-781-6233
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MACKWORTH ISLAND
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City | FALMOUTH
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State | ME
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Zip | 04105
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Country | US
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Telephone | 207-781-6233
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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 | OT2363
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License Number State | ME
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