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General NPI Number Information
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NPI Number | 1417100033
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Entity Type | Individual
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Provider Name | MRS. CARI DEANN REED
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 701 MONROE ST NW
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1358
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Country | US
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Telephone | 256-332-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 9246 COUNTY ROAD 23
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City | MOUNT HOPE
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State | AL
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Zip | 35651-9752
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Country | US
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Telephone | 256-974-0672
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 2973
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License Number State | AL
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