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General NPI Number Information
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NPI Number | 1275966897
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Entity Type | Individual
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Provider Name | VICTORIA MORGAN DUCKETT OTA/L
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Gender | Female
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 508 BLOUNT AVE
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-1502
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Country | US
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Telephone | 256-571-7117
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Fax | 256-571-7139
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Provider Business Mailing Address
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Address Line | 681 TICK DUCKETT RD
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City | ALBERTVILLE
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State | AL
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Zip | 35951-6629
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Country | US
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Telephone | 256-302-1569
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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 | 3670
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License Number State | AL
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