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General NPI Number Information
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NPI Number | 1568561322
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Entity Type | Individual
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Provider Name | TAMRA CARLSON MANN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 245 CAHABA VALLEY PKWY SUITE 200
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City | PELHAM
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State | AL
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Zip | 35124-2216
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Country | US
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Telephone | 205-942-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 873 DEERBROOK DR
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City | GARDENDALE
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State | AL
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Zip | 35071-3241
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Country | US
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Telephone | 205-647-5527
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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 | 0115
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License Number State | AL
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