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General NPI Number Information
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NPI Number | 1720338635
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Entity Type | Individual
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Provider Name | APRIL DAPHNE ANGLIN OT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 7213 S SIWELL RD
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City | BYRAM
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State | MS
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Zip | 39272-9776
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Country | US
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Telephone | 601-346-9191
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Fax | 601-346-5011
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Provider Business Mailing Address
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Address Line | 1220 N. SHORE PARKWAY SUITE B
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City | BRANDON
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State | MS
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Zip | 39047
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Country | US
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Telephone | 601-829-0505
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Fax | 601-829-0506
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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 | OT2496
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License Number State | MS
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