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General NPI Number Information
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NPI Number | 1821011479
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Entity Type | Individual
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Provider Name | CAROL DOLLARD O.T.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 463646 STATE ROAD 200 STE 4
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City | YULEE
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State | FL
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Zip | 32097-0303
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Country | US
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Telephone | 904-261-4414
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Fax | 904-261-4614
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Provider Business Mailing Address
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Address Line | PO BOX 949
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City | ROME
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State | GA
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Zip | 30162-0949
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Country | US
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Telephone | 904-261-4414
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Fax | 904-261-4614
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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 | 008521
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 012921-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT22386
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License Number State | FL
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