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General NPI Number Information
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NPI Number | 1114816980
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Entity Type | Individual
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Provider Name | KELSEY TURNER FORLINES COTA/L
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Gender | Female
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 1690 DOUBLE LOG CABIN RD
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City | LEBANON
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State | TN
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Zip | 37087-7471
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Country | US
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Telephone | 615-444-3282
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Fax |
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Provider Business Mailing Address
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Address Line | 4344 CENTRAL VALLEY DR
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City | HERMITAGE
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State | TN
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Zip | 37076-2643
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Country | US
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Telephone | 662-424-3476
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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 | 3598
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License Number State | TN
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