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General NPI Number Information
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NPI Number | 1366302952
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Entity Type | Individual
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Provider Name | ABBIE MARIE DART
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Gender | Female
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 475 S GOVERNOR ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1965
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Country | US
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Telephone | 812-777-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 N WEINBACH AVE APT 1C
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City | EVANSVILLE
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State | IN
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Zip | 47711-4381
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Country | US
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Telephone | 618-554-8954
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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 | 99133817A
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License Number State | IN
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