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General NPI Number Information
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NPI Number | 1215567821
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Entity Type | Individual
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Provider Name | COURTNEY JESSICA PICKNEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 520 S HULL ST
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City | MONTGOMERY
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State | AL
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Zip | 36104-4610
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Country | US
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Telephone | 334-834-2920
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Fax |
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Provider Business Mailing Address
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Address Line | 3518 CLAIBORNE CIR
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City | MONTGOMERY
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State | AL
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Zip | 36116-8800
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Country | US
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Telephone | 334-320-5431
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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 | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number |
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License Number State |
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