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General NPI Number Information
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NPI Number | 1780984575
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Entity Type | Individual
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Provider Name | SAIDIA MURPHY OT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 64 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-4429
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Country | US
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Telephone | 180-027-8033
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 HARRIS AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63115-3131
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Country | US
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Telephone |
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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 | 56007637
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License Number State | IL
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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 | 2005034970
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License Number State | MO
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