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General NPI Number Information
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NPI Number | 1679255038
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Entity Type | Individual
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Provider Name | ADELE HEATH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 325 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2237
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Country | US
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Telephone | 423-317-7772
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Fax | 423-317-7773
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Provider Business Mailing Address
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Address Line | 325 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2237
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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 | 1210
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License Number State | TN
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