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General NPI Number Information
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NPI Number | 1871807297
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Entity Type | Individual
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Provider Name | MARILYN ADAIR CORRIGAN OT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 26 RACETRACK RD NW
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City | FT WALTON BCH
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State | FL
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Zip | 32547-1640
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Country | US
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Telephone | 850-374-3465
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Fax |
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Provider Business Mailing Address
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Address Line | 26 RACETRACK RD NW STE E
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1640
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Country | US
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Telephone | 248-644-3920
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Fax | 855-978-2212
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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 | 5201001476
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT22394
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License Number State | FL
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