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General NPI Number Information
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NPI Number | 1962609172
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Entity Type | Individual
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Provider Name | GAYLE L PATTERSON-ANSLINGER MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 16131 ROSERUSH CT
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City | FORT MYERS
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State | FL
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Zip | 33908-3634
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Country | US
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Telephone | 239-343-7315
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Fax |
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Provider Business Mailing Address
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Address Line | 6510 PLANTATION PRESERVE CIR N
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City | FORT MYERS
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State | FL
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Zip | 33966-8367
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Country | US
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Telephone | 812-887-4511
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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 | 31002460A
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License Number State | IN
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