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General NPI Number Information
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NPI Number | 1689359531
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Entity Type | Individual
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Provider Name | ASHLEY ROBERTSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 9201 STATE HIGHWAY 17 STE F
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City | ELGIN
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State | OK
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Zip | 73538-4517
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Country | US
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Telephone | 405-996-7810
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Fax |
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Provider Business Mailing Address
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Address Line | 539 NE 30TH ST
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City | ELGIN
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State | OK
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Zip | 73538-2109
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Country | US
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Telephone | 405-996-7810
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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 | 1717
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License Number State | OK
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