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General NPI Number Information
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NPI Number | 1669830220
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Entity Type | Individual
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Provider Name | OLGA MCNALLY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1710 OLD TROLLEY RD STE C
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8281
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Country | US
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Telephone | 843-971-7116
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 OLD TROLLEY ROAD SUITE C
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City | SUMMERVILLE
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State | SC
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Zip | 29485
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Country | US
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Telephone | 843-971-7116
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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 | 3268
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License Number State | SC
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