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General NPI Number Information
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NPI Number | 1578044566
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Entity Type | Individual
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Provider Name | VENICE ROSANNE SAINTVAL
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 11 UPPER RIVERDALE RD
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-991-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 CENTERVILLE HWY UNIT 390721
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City | SNELLVILLE
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State | GA
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Zip | 30039-0105
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Country | US
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Telephone | 571-494-1589
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 0131002030
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA001837
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License Number State | GA
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