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General NPI Number Information
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NPI Number | 1871682922
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Entity Type | Individual
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Provider Name | RUTHANN O'BRIEN MS OTR
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 5793 M-72 NW
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City | WILLIAMSBURG
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State | MI
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Zip | 49690
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Country | US
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Telephone | 231-258-9860
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Fax | 231-258-4280
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | CADILLAC
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State | MI
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Zip | 49601-0384
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Country | US
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Telephone | 231-775-6076
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Fax | 231-775-0027
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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 | 5201003417
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License Number State | MI
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