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General NPI Number Information
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NPI Number | 1619215712
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Entity Type | Individual
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Provider Name | KAREN MARIE CORBY OTD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 800 OLD DAWSON VILLAGE RD E STE 10
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City | DAWSONVILLE
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State | GA
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Zip | 30534-3818
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Country | US
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Telephone | 770-676-1971
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Fax | 678-807-2537
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Provider Business Mailing Address
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Address Line | 4115 MORNING MIST LN
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City | CUMMING
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State | GA
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Zip | 30028-6927
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Country | US
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Telephone | 517-442-6577
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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 | OT006995
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201008317
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License Number State | MI
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