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General NPI Number Information
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NPI Number | 1992470157
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Entity Type | Individual
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Provider Name | ERIN LAUREN ALIBRANDI
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 37327 N GANTZEL RD
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7388
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Country | US
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Telephone | 480-987-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 3562 E DUBLIN ST
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City | GILBERT
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State | AZ
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Zip | 85295-3508
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Country | US
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Telephone | 602-505-6179
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-046931
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License Number State | AZ
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