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General NPI Number Information
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NPI Number | 1619811387
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Entity Type | Individual
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Provider Name | HALEY ROSS MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 714 GREEN VALLEY RD
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City | GREENSBORO
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State | NC
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Zip | 27408-7018
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Country | US
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Telephone | 336-370-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 HOLGATE DR
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City | GREENSBORO
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State | NC
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Zip | 27410-2818
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Country | US
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Telephone | 336-558-3150
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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 | 4117
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License Number State | NC
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