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General NPI Number Information
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NPI Number | 1093571390
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Entity Type | Individual
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Provider Name | EMILY WEILER
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Gender | Female
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 660 PHIPPS BLVD NE
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City | ATLANATA
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State | GA
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Zip | 30326
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Country | US
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Telephone | 470-764-3962
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Fax |
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Provider Business Mailing Address
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Address Line | 4876 TWIN LAKES TRL
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City | DUNWOODY
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State | GA
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Zip | 30360-1727
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA002492
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License Number State | GA
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