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General NPI Number Information
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NPI Number | 1518282912
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Entity Type | Individual
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Provider Name | EMMY HARTLEY M.S.O.T., OTR/L, CHT
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 6000 US 98
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City | PENSACOLA
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State | FL
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Zip | 32512-2538
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Country | US
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Telephone | 530-519-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 8757 RUSH LN
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City | PENSACOLA
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State | FL
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Zip | 32526-3255
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Country | US
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Telephone | 530-519-3510
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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 | 12097
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 22397
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License Number State | FL
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