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General NPI Number Information
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NPI Number | 1427393495
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Entity Type | Individual
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Provider Name | JENNIFER A. PUGH OTR
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Gender | Female
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 988 OAK RIDGE TPKE STE 100A
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City | OAK RIDGE
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State | TN
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Zip | 37830-6919
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Country | US
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Telephone | 865-425-4388
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Fax | 865-425-4677
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Provider Business Mailing Address
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Address Line | PO BOX 306556
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City | NASHVILLE
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State | TN
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Zip | 37230-6556
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Country | US
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Telephone | 865-243-8153
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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 | 02846
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License Number State | TN
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