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General NPI Number Information
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NPI Number | 1225699085
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Entity Type | Individual
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Provider Name | BRYCE BARKER OTD, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 540-688-6277
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Fax |
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Provider Business Mailing Address
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Address Line | 300 EAST HOSPITAL ROAD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119008244
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License Number State | VA
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