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NPI 1710598495

NPI 1710598495 : PATRICK BRYAN HOPKINS OTR/L : ASHEBORO, NC

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General NPI Number Information
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    NPI Number           |    1710598495
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK BRYAN HOPKINS OTR/L
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/14/2020
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    Last Update Date     |    11/03/2023
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Provider Practice Location Address
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    Address Line         |    1302 OLD COX RD 
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    City                 |    ASHEBORO
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    State                |    NC
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    Zip                  |    27205-9466
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    Country              |    US
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    Telephone            |    336-521-4401
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    567 OAK LEAF RD APT C 
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    City                 |    ASHEBORO
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    State                |    NC
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    Zip                  |    27205-2420
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    Country              |    US
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    Telephone            |    770-331-3318
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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       |    10355
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    License Number State |    NC
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