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General NPI Number Information
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NPI Number | 1366279440
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Entity Type | Individual
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Provider Name | DR. YVETTE HARGETT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 5241 W SHADES VALLEY DR
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City | MONTGOMERY
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State | AL
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Zip | 36108-5369
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Country | US
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Telephone | 678-522-6817
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Fax |
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Provider Business Mailing Address
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Address Line | 3066 ZELDA ROAD PMB 346
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City | MONTGOMERY
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State | AL
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Zip | 36106
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Country | US
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Telephone | 678-522-6817
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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 | 1502
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License Number State | AL
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