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General NPI Number Information
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NPI Number | 1427940477
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Entity Type | Individual
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Provider Name | CAROLINE REBEKAH PAULK OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 4855 RIVER GREEN PKWY STE 610
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City | DULUTH
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State | GA
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Zip | 30096-8337
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Country | US
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Telephone | 470-499-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 716 SOMERSET WAY
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City | AUGUSTA
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State | GA
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Zip | 30909-3131
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Country | US
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Telephone | 706-830-6831
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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 | OT009603
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License Number State | GA
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