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General NPI Number Information
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NPI Number | 1760835672
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Entity Type | Individual
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Provider Name | HANNAH PEAGLER HOWARD OT
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Gender | Female
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Dates
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Enumeration Date | 07/15/2016
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Last Update Date | 05/17/2024
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Provider Practice Location Address
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Address Line | 2509 OLD BRANDON RD STE C
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City | PEARL
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State | MS
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Zip | 39208-4610
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Country | US
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Telephone | 601-487-6814
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Fax | 601-487-6815
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Provider Business Mailing Address
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Address Line | PO BOX 54163
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City | PEARL
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State | MS
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Zip | 39288-4163
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Country | US
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Telephone | 601-487-6814
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Fax | 601-487-6815
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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 | OT3242
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License Number State | MS
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