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General NPI Number Information
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NPI Number | 1164903589
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Entity Type | Individual
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Provider Name | ELGINA RUTH DOLLAR OT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 6251 STEVENSON OAKS DR
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City | FT WORTH
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State | TX
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Zip | 76123-2783
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Country | US
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Telephone | 800-381-0822
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Fax | 352-565-5201
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Provider Business Mailing Address
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Address Line | 8477 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34446-5028
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Country | US
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Telephone | 800-381-0822
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Fax | 352-565-5201
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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 | 106093
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License Number State | TX
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