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General NPI Number Information
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NPI Number | 1538573951
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Entity Type | Individual
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Provider Name | COURTNEY LAUREN HENDERSON MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 10/01/2019
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Provider Practice Location Address
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Address Line | 60 LIVINGSTON ST STE 400
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City | ASHEVILLE
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State | NC
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Zip | 28801-4400
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Country | US
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Telephone | 828-505-0811
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Fax | 828-505-1386
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Provider Business Mailing Address
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Address Line | 60 LIVINGSTON ST STE 400
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City | ASHEVILLE
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State | NC
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Zip | 28801-4400
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Country | US
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Telephone | 828-505-0811
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Fax | 828-505-1386
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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 | OT9248
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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