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General NPI Number Information
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NPI Number | 1851868715
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Entity Type | Individual
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Provider Name | MELINDA RICHARDS DECKER OTR/L, MSOT
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 2124 4TH AVE S STE 210
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2204
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Country | US
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Telephone | 205-939-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 4TH AVE S STE 210
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2204
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Country | US
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Telephone | 205-541-0120
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Fax | 205-325-1181
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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 | 2002
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License Number State | AL
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