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General NPI Number Information
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NPI Number | 1750756854
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Entity Type | Organization
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Legal Business Name | MARGARET PRINCE MOT, OT LLC
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 3043 BARTON DR
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City | PEARLAND
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State | TX
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Zip | 77584-7175
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Country | US
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Telephone | 832-752-1356
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Fax |
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Provider Business Mailing Address
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Address Line | 3043 BARTON DR
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City | PEARLAND
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State | TX
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Zip | 77584-7175
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Country | US
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Telephone | 832-752-1356
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MARGARET C PRINCE
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Credential | MOT, OT
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Telephone | 832-752-1356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 108236
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 108236
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License Number State | TX
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