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General NPI Number Information
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NPI Number | 1457606469
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Entity Type | Individual
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Provider Name | REBEKAH GILMORE MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 18 SCENIC LOOP RD # 200D
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City | BOERNE
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State | TX
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Zip | 78006-8672
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Country | US
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Telephone | 830-755-0098
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Fax | 830-327-0099
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Provider Business Mailing Address
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Address Line | 18 SCENIC LOOP RD # 200D
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City | BOERNE
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State | TX
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Zip | 78006-8672
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Country | US
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Telephone | 817-800-4431
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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 | 116485
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License Number State | TX
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