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General NPI Number Information
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NPI Number | 1821526401
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Entity Type | Individual
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Provider Name | PAMELA J ALBERT OTA
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Gender | Female
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 05/26/2017
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Provider Practice Location Address
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Address Line | 3 BRAZIER LN
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City | KENNEBUNK
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State | ME
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Zip | 04043-7095
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Country | US
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Telephone | 207-985-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ELIZABETH RD APT 3
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City | PORTLAND
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State | ME
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Zip | 04102-2583
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Country | US
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Telephone | 207-852-1192
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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