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General NPI Number Information
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NPI Number | 1407801202
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Entity Type | Individual
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Provider Name | LAURA LEIGH JONES OTR L CHT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 1483 TOBIAS GADSON BLVD SUITE 205B
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City | CHARLESTON
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State | SC
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Zip | 29407-4641
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Country | US
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Telephone | 843-766-6494
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Fax | 843-766-6495
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Provider Business Mailing Address
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Address Line | 802 JOHNNIE DODDS BLVD SUITE A
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City | MT PLEASANT
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State | SC
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Zip | 29464-3183
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Country | US
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Telephone | 843-856-1634
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Fax | 843-856-2534
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 01317
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License Number State | SC
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