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General NPI Number Information
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NPI Number | 1700012499
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Entity Type | Individual
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Provider Name | ELLEN KEY MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 328 WHIPPOORWILL LN
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City | MOUNT HOLLY
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State | NC
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Zip | 28120-9765
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Country | US
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Telephone | 704-827-3788
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 ISLEWORTH AVE APT. B
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City | CHARLOTTE
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State | NC
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Zip | 28203-5388
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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 | 6898
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License Number State | NC
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