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General NPI Number Information
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NPI Number | 1124675681
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Entity Type | Individual
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Provider Name | TAYLOR CRAVEN GRAHAM OTA
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 90 CLARK BLVD STE A
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City | TUPELO
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State | MS
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Zip | 38804-2801
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Country | US
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Telephone | 662-840-0535
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Fax | 662-842-7915
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Provider Business Mailing Address
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Address Line | PO BOX 3592
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City | TUPELO
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State | MS
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Zip | 38803-3592
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Country | US
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Telephone | 662-840-0535
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Fax | 662-842-7915
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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 | TA2914
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License Number State | MS
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