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General NPI Number Information
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NPI Number | 1225102031
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Entity Type | Organization
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Legal Business Name | CAROLINA OCCUPATIONAL THERAPY OF GREENVILLE, INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1038 WH SMITH BLVD UNIT 101
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City | GREENVILLE
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State | NC
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Zip | 27834-5051
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Country | US
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Telephone | 252-757-1691
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Fax | 888-430-0123
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Provider Business Mailing Address
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Address Line | 1038 W H SMITH BLVD STE 101
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City | GREENVILLE
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State | NC
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Zip | 27834-5429
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Country | US
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Telephone | 252-757-1691
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Fax | 888-430-0123
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MICHAEL ALBERT KACHMAN
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Credential | OTR/L, CHT
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Telephone | 252-757-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | AA381277
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License Number State | NC
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