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General NPI Number Information
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NPI Number | 1023413044
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Entity Type | Individual
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Provider Name | ASHLEY HOPKINS OT
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Gender | Female
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 9480 PRIORITY WAY WEST DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-1470
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Country | US
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Telephone | 317-805-4963
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Fax | 317-818-0720
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Provider Business Mailing Address
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Address Line | PO BOX 234
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City | MONTEZUMA
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State | IN
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Zip | 47862-0234
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Country | US
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Telephone | 317-805-4963
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Fax | 317-818-0720
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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 | 31004572A
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License Number State | IN
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