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General NPI Number Information
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NPI Number | 1538022215
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Entity Type | Organization
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Legal Business Name | EMPOWERED PATHWAYS THERAPY PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1808 MOHICAN ST
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City | DENTON
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State | TX
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Zip | 76209-3434
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Country | US
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Telephone | 512-940-9060
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Fax | 940-281-0229
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Provider Business Mailing Address
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Address Line | 1808 MOHICAN ST
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City | DENTON
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State | TX
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Zip | 76209-3434
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Country | US
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Telephone | 512-940-9060
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Fax | 940-281-0229
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | PEGAH PEGGY TAVAKKOL
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Credential | OTD
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Telephone | 512-940-9060
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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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