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General NPI Number Information
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NPI Number | 1881913937
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Entity Type | Individual
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Provider Name | JENNIFER L EVANS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 25 BERNARD RD
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6614
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Country | US
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Telephone | 540-483-5138
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Fax |
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Provider Business Mailing Address
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Address Line | 25 BERNARD RD
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City | ROCKY MOUNT
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State | VA
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Zip | 24151-6614
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Country | US
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Telephone | 540-484-5138
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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 | 0119003858
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License Number State | VA
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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 | OT010000459
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License Number State | DC
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