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General NPI Number Information
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NPI Number | 1609170943
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Entity Type | Individual
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Provider Name | TAMMY JANE HOPTON OTR
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Gender | Female
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 190 OLD ORCHARD SQ
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City | ELLIJAY
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State | GA
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Zip | 30540-8172
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Country | US
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Telephone | 706-273-3131
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Fax | 706-273-3133
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Provider Business Mailing Address
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Address Line | 8823 PRODUCTION LN
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City | OOLTEWAH
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State | TN
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Zip | 37363-6511
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Country | US
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Telephone | 423-238-7217
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Fax | 423-954-7408
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 4018
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License Number State | TN
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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 | 003245
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License Number State | GA
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