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General NPI Number Information
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NPI Number | 1053114819
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Entity Type | Individual
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Provider Name | ZOEE JASMINE DAVIS OTRL
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1222 NORTH DR
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-3200
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Country | US
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Telephone | 989-772-2957
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Fax |
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Provider Business Mailing Address
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Address Line | 9481 CREEK VIEW DR
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City | FARWELL
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State | MI
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Zip | 48622-8452
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Country | US
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Telephone | 517-673-3911
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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 | 5201014184
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License Number State | MI
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