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General NPI Number Information
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NPI Number | 1659995322
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Entity Type | Individual
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Provider Name | ALLISON RYBA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/29/2020
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 3500 LENOX RD NE STE 1500
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City | ATLANTA
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State | GA
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Zip | 30326-4231
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4328
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Provider Business Mailing Address
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Address Line | 5 COLORADO ST
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City | GREENVILLE
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State | SC
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Zip | 29607-2222
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Country | US
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Telephone |
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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 | OT007737
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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 | 6844
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License Number State | SC
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