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General NPI Number Information
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NPI Number | 1417542424
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Entity Type | Organization
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Legal Business Name | SPECIALIZED OCCUPATIONAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 1212 ROCKEFORD DR
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City | NASHVILLE
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State | TN
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Zip | 37221-4151
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Country | US
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Telephone | 615-609-4191
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Fax |
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Provider Business Mailing Address
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Address Line | 1212 ROCKEFORD DR
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City | NASHVILLE
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State | TN
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Zip | 37221-4151
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Country | US
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Telephone | 615-609-4191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARON UZZELL-BAGGETT
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Credential | OTD, OTR/L
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Telephone | 615-609-4191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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