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General NPI Number Information
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NPI Number | 1164848016
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Entity Type | Individual
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Provider Name | TARESSA HURD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 650 N JEFFERSON ST
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City | ROANOKE
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State | VA
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Zip | 24016-1427
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Country | US
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Telephone | 540-343-3484
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Fax | 540-343-3197
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Provider Business Mailing Address
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Address Line | 3804 SAUNDERS RD
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City | VINTON
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State | VA
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Zip | 24179-6323
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Country | US
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Telephone | 540-529-5529
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Fax | 276-293-1212
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119004149
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License Number State | VA
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