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General NPI Number Information
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NPI Number | 1750618526
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Entity Type | Individual
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Provider Name | ANN M LEWIS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/15/2009
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Last Update Date | 11/15/2009
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Provider Practice Location Address
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Address Line | 54 FARR AVE
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City | MORRISVILLE
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State | VT
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Zip | 05661-9181
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Country | US
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Telephone | 802-888-7907
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Fax |
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Provider Business Mailing Address
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Address Line | 202 MAPLE ST
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City | MORRISVILLE
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State | VT
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Zip | 05661-6075
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Country | US
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Telephone | 802-888-7907
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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 | 072-0000293
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License Number State | VT
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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 | 003519
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License Number State | CT
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