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General NPI Number Information
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NPI Number | 1649870932
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Entity Type | Individual
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Provider Name | ABIGAIL ALISA PERKINS
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 303 SECOND ST
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City | SOMERSET
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State | KY
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Zip | 42501-2390
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Country | US
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Telephone | 606-677-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 749 CASTLE ST
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City | MONTICELLO
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State | KY
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Zip | 42633-1337
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Country | US
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Telephone | 606-307-3374
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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 | 267065
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License Number State | KY
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