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General NPI Number Information
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NPI Number | 1982172375
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Entity Type | Individual
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Provider Name | ANNE EILEEN MERLINO O.T.R./L
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 1245 OLD ARCATA RD
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City | ARCATA
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State | CA
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Zip | 95521-6708
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Country | US
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Telephone | 707-826-2967
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | ARCATA
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State | CA
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Zip | 95518-0092
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Country | US
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Telephone | 707-845-2717
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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 | 4572
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License Number State | CA
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