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General NPI Number Information
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NPI Number | 1861992638
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Entity Type | Individual
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Provider Name | JESSICA SMELTZER BOWEN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/18/2018
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Last Update Date | 02/18/2018
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Provider Practice Location Address
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Address Line | 340 MENDEL PKWY W
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City | MONTGOMERY
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State | AL
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Zip | 36117-5406
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Country | US
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Telephone | 334-532-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 415 N DONAHUE DR APT 2D
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City | AUBURN
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State | AL
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Zip | 36832-3736
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Country | US
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Telephone |
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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 | 4629
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License Number State | AL
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