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General NPI Number Information
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NPI Number | 1891456497
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Entity Type | Organization
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Legal Business Name | DR. GAYE CRONIN OTD LLC
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 6000 LAKE FORREST DR STE 475
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City | ATLANTA
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State | GA
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Zip | 30328-3898
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Country | US
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Telephone | 404-851-9093
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Fax | 404-851-9097
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Provider Business Mailing Address
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Address Line | 6000 LAKE FORREST DR STE 475
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City | ATLANTA
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State | GA
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Zip | 30328-3898
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Country | US
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Telephone | 404-851-9093
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Fax | 404-851-9097
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | VICKY COOPER
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Credential |
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Telephone | 404-851-9093
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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 |
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License Number State |
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