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General NPI Number Information
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NPI Number | 1811783491
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Entity Type | Individual
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Provider Name | CARLEY WILHARM OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2216 LESTER DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-2607
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Country | US
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Telephone | 505-296-4808
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Fax |
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Provider Business Mailing Address
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Address Line | 628 KESSLER DR
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City | NEENAH
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State | WI
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Zip | 54956-4114
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Country | US
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Telephone | 920-716-4831
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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 | 030111
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-2025-0074
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License Number State | NM
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