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General NPI Number Information
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NPI Number | 1861003725
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Entity Type | Organization
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Legal Business Name | AMAZING ACHIEVEMENTS OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2202 EMERALD AVE
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City | CASTLE HAYNE
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State | NC
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Zip | 28429-5692
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Country | US
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Telephone | 708-712-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 EMERALD AVE
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City | CASTLE HAYNE
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State | NC
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Zip | 28429-5692
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Country | US
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Telephone | 708-712-1200
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST AND OWNER
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Name | JENNIFER ANN DAVIS
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Credential | OTR/L
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Telephone | 708-712-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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