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General NPI Number Information
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NPI Number | 1790316131
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Entity Type | Individual
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Provider Name | CAMILLE L SACKETT-WESCOTT OT
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Gender | Female
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 1350 CENTRAL AVE
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3244
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Country | US
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Telephone | 505-662-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 976 TSANKAWI ST
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2836
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Country | US
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Telephone | 505-695-4418
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT2290
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License Number State | NM
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