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General NPI Number Information
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NPI Number | 1083746077
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Entity Type | Individual
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Provider Name | JODI KLEEH BETTS OT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 15021 PARSONS RIDGE LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-4340
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Country | US
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Telephone | 704-651-9887
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Fax | 610-335-4366
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Provider Business Mailing Address
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Address Line | 15021 PARSONS RIDGE LN
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-4340
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Country | US
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Telephone | 704-651-9887
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Fax | 610-335-4366
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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 | 2730
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License Number State | SC
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