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General NPI Number Information
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NPI Number | 1225425812
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Entity Type | Individual
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Provider Name | JULIE ANNE MAYONTE YCOY OTR
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 03/23/2021
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Provider Practice Location Address
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Address Line | 10133 SHERRILL BLVD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37932-3347
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Country | US
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Telephone | 754-802-5003
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Fax | 855-232-8604
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Provider Business Mailing Address
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Address Line | 10133 SHERRILL BLVD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37932-3347
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Country | US
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Telephone | 754-802-5003
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Fax | 855-232-8604
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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 | 3309
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5050
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License Number State | SC
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