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General NPI Number Information
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NPI Number | 1912609686
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Entity Type | Individual
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Provider Name | HAILEY BURNS M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 2776 JANITELL RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4103
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Country | US
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Telephone | 719-332-4689
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Fax |
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Provider Business Mailing Address
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Address Line | 6694 MARZDEN DR
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9461
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Country | US
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Telephone | 419-377-0407
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0007860
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License Number State | CO
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