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General NPI Number Information
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NPI Number | 1932113677
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Entity Type | Individual
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Provider Name | MELISSA ROBILLARD OT
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 212 HOSPITAL DR STE B
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City | FAIRHOPE
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State | AL
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Zip | 36532-2058
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Country | US
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Telephone | 251-928-1809
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Fax | 251-990-1494
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Provider Business Mailing Address
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Address Line | 3013 AUTUMN RIDGE DR W
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City | MOBILE
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State | AL
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Zip | 36695-3224
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Country | US
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Telephone | 251-753-0491
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Fax | 251-990-1494
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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 | 2591
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License Number State | AL
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