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General NPI Number Information
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NPI Number | 1093282865
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Entity Type | Individual
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Provider Name | TERRI-LEE GLEASON
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 230 GREAT CIRCLE RD STE 202
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City | NASHVILLE
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State | TN
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Zip | 37228-1710
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Country | US
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Telephone | 615-226-2840
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Fax | 615-226-2839
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Provider Business Mailing Address
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Address Line | 1173 ROCK SPRINGS RD STE 105
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City | SMYRNA
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State | TN
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Zip | 37167-8414
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Country | US
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Telephone | 615-302-2121
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Fax | 615-226-2839
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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 |
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License Number State |
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