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General NPI Number Information
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NPI Number | 1346105889
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Entity Type | Individual
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Provider Name | ALEXIS PAIGE STAFFORD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 130 STONEHENGE DR
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City | CROSSVILLE
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State | TN
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Zip | 38558-6273
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Country | US
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Telephone | 931-459-7646
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Fax | 931-210-5079
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Provider Business Mailing Address
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Address Line | 1048 ROLLING MEADOW DR
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City | MT JULIET
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State | TN
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Zip | 37122-3682
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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 | 8550
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License Number State | TN
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