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General NPI Number Information
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NPI Number | 1912805136
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Entity Type | Individual
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Provider Name | ALICIA RALPH OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3817 COLONEL GLENN HWY
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City | BEAVERCREEK
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State | OH
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Zip | 45324-2268
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Country | US
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Telephone | 937-427-9200
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Fax | 937-427-9203
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Provider Business Mailing Address
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Address Line | 3915 CLOUD PARK DR APT B1
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-8053
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Country | US
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Telephone | 937-427-9200
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Fax | 937-427-9203
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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 | OT013657
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License Number State | OH
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