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General NPI Number Information
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NPI Number | 1467190140
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Entity Type | Individual
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Provider Name | JEDEKIAH ZEAN MAY OTD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 34 WILLIAMS ST
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City | EVANSVILLE
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State | WY
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Zip | 82636-8647
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Country | US
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Telephone | 307-251-1399
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Fax | 307-206-0599
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | EVANSVILLE
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State | WY
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Zip | 82636-0096
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Country | US
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Telephone | 307-251-1399
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Fax | 307-206-0599
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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 |
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License Number State |
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