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General NPI Number Information
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NPI Number | 1932827052
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Entity Type | Individual
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Provider Name | GABRIEL HILDING THOMSON OT
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Gender | Male
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 140 E RAWSON AVE STE 317
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City | OAK CREEK
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State | WI
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Zip | 53154-1525
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Country | US
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Telephone | 262-287-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 2730A N OAKLAND AVE
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City | MILWAUKEE
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State | WI
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Zip | 53211-3533
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Country | US
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Telephone | 920-344-6769
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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 |
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License Number State |
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