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General NPI Number Information
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NPI Number | 1285583252
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Entity Type | Individual
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Provider Name | JAMYIA THELMA MCNEIL
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1515 JOHNSON FERRY RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-6492
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Country | US
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Telephone | 770-977-9457
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Fax | 770-977-5087
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Provider Business Mailing Address
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Address Line | 1515 JOHNSON FERRY RD STE 100
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City | MARIETTA
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State | GA
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Zip | 30062-6492
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Country | US
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Telephone | 770-977-9457
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Fax | 770-977-5087
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT009679
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License Number State | GA
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