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NPI 1881112928

NPI 1881112928 : HOPE MCCARROLL OTD, MOT, OTR : CROSSROADS, TX

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General NPI Number Information
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    NPI Number           |    1881112928
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    Entity Type          |    Individual 
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    Provider Name        |    HOPE MCCARROLL OTD, MOT, OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/08/2017
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    Last Update Date     |    09/08/2017
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Provider Practice Location Address
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    Address Line         |    8700 US HWY 380 SUITE 517
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    City                 |    CROSSROADS
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    State                |    TX
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    Zip                  |    76227
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    Country              |    US
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    Telephone            |    866-832-1708
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8700 US HIGHWAY 380 STE 517 
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    City                 |    CROSSROADS
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    State                |    TX
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    Zip                  |    76227-2661
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    114558
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    License Number State |    TX
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