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General NPI Number Information
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NPI Number | 1881080612
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Entity Type | Individual
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Provider Name | ELYSE COMER MS, OTR
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 306 E BUTLER RD STE D
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City | MAULDIN
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State | SC
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Zip | 29662-3251
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Country | US
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Telephone | 864-372-9845
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Fax | 833-541-1788
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Provider Business Mailing Address
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Address Line | 306 E BUTLER RD STE D
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City | MAULDIN
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State | SC
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Zip | 29662-3251
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Country | US
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Telephone | 864-334-7809
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Fax | 833-541-1788
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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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 | 4489
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License Number State | SC
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