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General NPI Number Information
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NPI Number | 1780184267
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Entity Type | Individual
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Provider Name | MEREDITH LEE ALLEN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 2300 GALLBERRY LN
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City | WAXHAW
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State | NC
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Zip | 28173-0161
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Country | US
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Telephone | 704-649-4509
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Fax |
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Provider Business Mailing Address
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Address Line | 2012 KENWOOD AVE
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City | CHARLOTTE
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State | NC
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Zip | 28205-3647
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Country | US
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Telephone | 615-519-4016
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 15820
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License Number State | NC
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