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General NPI Number Information
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NPI Number | 1801675434
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Entity Type | Organization
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Legal Business Name | HUMMINGBIRD THERAPY AND CONSULTING
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 7081 IRISH AVENUE CT S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-1953
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Country | US
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Telephone | 651-895-7332
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Fax | 651-447-5404
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Provider Business Mailing Address
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Address Line | 7081 IRISH AVENUE CT S
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-1953
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Country | US
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Telephone | 651-895-7332
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Fax | 651-447-5404
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ALLISON GILBERT
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Credential | MA OTR/L
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Telephone | 651-895-7332
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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 |
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License Number State |
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