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General NPI Number Information
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NPI Number | 1811264211
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Entity Type | Individual
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Provider Name | ANNE HOUSTON BENTZEN OT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 3 PHEASANT DR
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City | ARMONK
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State | NY
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Zip | 10504-1321
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Country | US
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Telephone | 914-588-4079
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Fax | 914-273-8461
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Provider Business Mailing Address
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Address Line | 3 PHEASANT DRIVE
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City | ARMONK
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State | NY
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Zip | 10504-1321
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Country | US
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Telephone | 914-588-4079
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Fax | 914-273-8461
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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 | 001811
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License Number State | NY
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