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General NPI Number Information
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NPI Number | 1255372272
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Entity Type | Individual
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Provider Name | DEANNE LEE HARDIGREE O.T.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 2700 10TH AVE S SUITE 200
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1200
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Country | US
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Telephone | 205-933-7838
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Fax | 205-683-2468
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Provider Business Mailing Address
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Address Line | 2700 10TH S AVE 200
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1248
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Country | US
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Telephone | 205-933-7838
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Fax | 205-683-2468
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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 | 0247
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License Number State | AL
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