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General NPI Number Information
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NPI Number | 1639728132
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Entity Type | Individual
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Provider Name | ANTEA GRACE NICOLE LEFEBVRE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | WILLIAM F. GREEN STATE VETERANS HOME 300 FAULKNER DRIVE
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City | BAY MINETTE
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State | AL
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Zip | 36507
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Country | US
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Telephone | 251-937-8049
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Fax |
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Provider Business Mailing Address
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Address Line | 450 BEGEMAN RD
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City | MOBILE
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State | AL
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Zip | 36608-9246
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Country | US
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Telephone | 251-366-3977
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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 | 4993
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License Number State | AL
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