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General NPI Number Information
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NPI Number | 1609632173
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Entity Type | Individual
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Provider Name | JESSICA LEE OTD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 48 W COLT SQUARE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2813
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Country | US
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Telephone | 274-047-9582
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Fax |
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Provider Business Mailing Address
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Address Line | 4365 W APACHE TRL
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-4702
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Country | US
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Telephone | 479-719-3022
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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 | OTR3910
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License Number State | AR
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