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General NPI Number Information
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NPI Number | 1245568203
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Entity Type | Individual
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Provider Name | JULINA MICHELLE SMITH OT/L
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Gender | Female
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Dates
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Enumeration Date | 12/02/2009
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1531 13TH ST STE G90
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City | COLUMBUS
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State | IN
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Zip | 47201
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Country | US
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Telephone | 765-448-1758
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Fax | 765-448-3898
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Provider Business Mailing Address
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Address Line | 437 HIGHLAND DR
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City | GREENWOOD
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State | IN
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Zip | 46142
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Country | US
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Telephone | 765-376-2726
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Fax | 765-448-3898
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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 | 31003856A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 31003856A
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License Number State | IN
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