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General NPI Number Information
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NPI Number | 1891512125
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Entity Type | Organization
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Legal Business Name | OT2GO INNOVATION TO ELEVATION
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3691 KIRKSTONE WAY
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-7001
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Country | US
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Telephone | 850-570-5167
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Fax | 205-941-8069
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Provider Business Mailing Address
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Address Line | 3691 KIRKSTONE WAY
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City | BIRMINGHAM
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State | AL
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Zip | 35216
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Country | US
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Telephone | 850-570-5167
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Fax | 205-941-8069
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Authorized Official
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Title or Position | FOUNDER & DIRECTOR
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Name | DR. MELANIE HARLEY
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Credential | OTD, OTR/L
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Telephone | 850-570-5167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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