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General NPI Number Information
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NPI Number | 1881427508
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Entity Type | Individual
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Provider Name | ALLISON WHITAKER PRATHER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 870 CORPORATE DR STE 104
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City | LEXINGTON
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State | KY
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Zip | 40503-5417
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Country | US
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Telephone | 859-785-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 5950 FALL LICK RD
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City | CRAB ORCHARD
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State | KY
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Zip | 40419-9024
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Country | US
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Telephone | 859-339-2937
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | R1247
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License Number State | KY
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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 | R1247
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License Number State | KY
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