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General NPI Number Information
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NPI Number | 1386181956
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Entity Type | Individual
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Provider Name | JENNIFER WILLIAMS KING OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 235 3RD ST SE
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City | ARAB
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State | AL
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Zip | 35016-1477
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Country | US
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Telephone | 256-586-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 NEW FRIENDSHIP RD
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City | UNION GROVE
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State | AL
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Zip | 35175-9013
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Country | US
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Telephone | 256-505-8483
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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 | 1921
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License Number State | AL
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