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General NPI Number Information
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NPI Number | 1366303752
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Entity Type | Individual
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Provider Name | LENNIE ORALEE STEVENSON OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JR DR SE
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City | ATLANTA
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State | GA
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Zip | 30303-3050
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Country | US
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Telephone | 404-616-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 BRADFORD AVE
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City | GREENWOOD
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State | MS
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Zip | 38930-5005
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Country | US
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Telephone | 662-466-0623
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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 | 4283
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License Number State | MS
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