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General NPI Number Information
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NPI Number | 1558935957
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Entity Type | Individual
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Provider Name | KIMBERLY BELLE HEWITT OTR
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 6340 SUGARLOAF PKWY STE 125
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City | DULUTH
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State | GA
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Zip | 30097-4331
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Country | US
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Telephone | 770-476-5877
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Fax | 770-476-5835
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Provider Business Mailing Address
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Address Line | 248 RIBBON LEAF VW
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City | SUWANEE
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State | GA
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Zip | 30024-3943
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Country | US
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Telephone | 770-312-9720
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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 | OT000610
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License Number State | GA
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