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NPI 1992263768

NPI 1992263768 : DEBRA MCGINNIS AND ASSOCIATES PC : NORTHVILLE, MI

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General NPI Number Information
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    NPI Number           |    1992263768
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEBRA MCGINNIS AND ASSOCIATES PC 
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Dates
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    Enumeration Date     |    03/11/2019
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    Last Update Date     |    02/26/2021
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Provider Practice Location Address
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    Address Line         |    41880 RAYBURN DR 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48168-2085
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    Country              |    US
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    Telephone            |    248-561-8827
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    Fax                  |    248-468-1669
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Provider Business Mailing Address
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    Address Line         |    41880 RAYBURN DR 
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    City                 |    NORTHVILLE
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    State                |    MI
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    Zip                  |    48168-2085
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    Country              |    US
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    Telephone            |    248-561-8827
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    Fax                  |    248-468-1669
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Authorized Official
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    Title or Position    |    CEO/OTR
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    Name                 |     DEBRA  MCGINNIS 
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    Credential           |    OTR, CBIS, CAPS
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    Telephone            |    248-561-8827
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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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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225XE0001X
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    Taxonomy Name        |    Environmental Modification Occupational Therapist
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    License Number       |    
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    License Number State |    
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