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General NPI Number Information
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NPI Number | 1790542967
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Entity Type | Organization
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Legal Business Name | HONEY BROOKS OCCUPATIONAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 126 CANEY CHURCH RD
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City | LUMBERTON
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State | MS
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Zip | 39455-9330
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Country | US
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Telephone | 601-329-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 126 CANEY CHURCH RD
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City | LUMBERTON
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State | MS
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Zip | 39455-9330
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Country | US
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Telephone | 601-329-1139
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Fax |
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Authorized Official
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Title or Position | OWNER/OTR/L
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Name | HONEY BROOKS
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Credential | OTR/L
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Telephone | 601-329-1139
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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 |
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License Number State |
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