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General NPI Number Information
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NPI Number | 1013108570
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Entity Type | Individual
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Provider Name | TAMMY LYN HUBBARD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 18289 TUPELO RIDGE TER
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City | LEESBURG
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State | VA
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Zip | 20176-6826
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Country | US
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Telephone | 941-882-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 18289 TUPELO RIDGE TER
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City | LEESBURG
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State | VA
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Zip | 20176-6826
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Country | US
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Telephone | 941-882-2040
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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 | 0119002178
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 941
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3880
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License Number State | MD
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