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General NPI Number Information
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NPI Number | 1942361811
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Entity Type | Individual
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Provider Name | JENNIFER LYNN LEMAIRE MS OTRL
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 148 WARREN ST
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City | LOWELL
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State | MA
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Zip | 01852
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Country | US
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Telephone | 978-452-1736
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Fax | 978-452-6625
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Provider Business Mailing Address
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Address Line | 271 WEST ACTON RD
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City | STOW
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State | MA
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Zip | 01775
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Country | US
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Telephone | 857-540-9358
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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 | 9005
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License Number State | MA
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