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General NPI Number Information
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NPI Number | 1861634636
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Entity Type | Individual
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Provider Name | MRS. DOROTHY ANN BADE
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 725 S PINE ST
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City | SEBRING
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State | FL
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Zip | 33870-3654
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Country | US
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Telephone | 863-471-9989
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SILK OAK ST
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City | LAKE PLACID
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State | FL
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Zip | 33852-5475
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Country | US
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Telephone | 863-699-0465
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OT3340
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License Number State | FL
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