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General NPI Number Information
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NPI Number | 1841696986
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Entity Type | Individual
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Provider Name | STEPHANIE ASBURY MONCRIEF MSOTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 10721 CHAPMAN HWY STE 28
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City | SEYMOUR
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State | TN
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Zip | 37865-4767
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Country | US
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Telephone | 423-494-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 708 WAVERLY CT
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City | ALCOA
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State | TN
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Zip | 37701-6824
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Country | US
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Telephone | 423-494-8398
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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 | OT1393
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License Number State | ID
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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 | OT5309
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5309
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License Number State | TN
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