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General NPI Number Information
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NPI Number | 1235024969
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Entity Type | Individual
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Provider Name | DEIDRA TURNER
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 7300 LESTER RD
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City | UNION CITY
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State | GA
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Zip | 30291-2328
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Country | US
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Telephone | 601-454-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 4937 LOCHERBY DR
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City | FAIRBURN
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State | GA
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Zip | 30213-4384
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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 | OT006608
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License Number State | GA
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