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General NPI Number Information
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NPI Number | 1699715987
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Entity Type | Individual
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Provider Name | ADRIENNE WOSKE OT
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 2407 ANDOVER DR SUITE B
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City | VALDOSTA
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State | GA
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Zip | 31602-1280
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Country | US
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Telephone | 229-247-0038
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Fax | 229-671-1005
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Provider Business Mailing Address
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Address Line | 2407 ANDOVER DR SUITE B
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City | VALDOSTA
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State | GA
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Zip | 31602-1280
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Country | US
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Telephone | 229-247-0038
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Fax | 229-671-1005
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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 | 2492
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License Number State | AL
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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 | OT004574
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License Number State | GA
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