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General NPI Number Information
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NPI Number | 1679480297
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Entity Type | Individual
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Provider Name | MONICA RUSH
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1531 E BRADFORD PKWY STE 210-4
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City | SPRINGFIELD
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State | MO
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Zip | 65804-6539
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Country | US
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Telephone | 417-881-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 E MELTON RD
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City | OZARK
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State | MO
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Zip | 65721-6387
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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