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General NPI Number Information
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NPI Number | 1467525899
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Entity Type | Individual
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Provider Name | KARLA MICHELLE CHAFF OTR
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 04/15/2019
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Provider Practice Location Address
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Address Line | 22 RIVER PARK LN
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City | TAYLORS
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State | SC
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Zip | 29687-5438
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Country | US
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Telephone | 404-593-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 22 RIVER PARK LN
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City | TAYLORS
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State | SC
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Zip | 29687-5438
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Country | US
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Telephone | 404-593-3489
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Fax | 404-288-7996
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT003206
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5307
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License Number State | SC
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