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General NPI Number Information
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NPI Number | 1568021129
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Entity Type | Individual
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Provider Name | OYDUN ARDALEN FURCHES
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Gender | Female
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 908 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3894
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Country | US
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Telephone | 423-492-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 BEWLEYS CHAPEL RD
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City | MOSHEIM
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State | TN
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Zip | 37818-5459
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Country | US
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Telephone | 423-620-1872
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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 | OT0000002395
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License Number State | TN
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