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General NPI Number Information
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NPI Number | 1932435963
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Entity Type | Individual
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Provider Name | MANDI WOLF OGAARD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 502 STRAWBERRY PLAINS RD STE D2
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-3442
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Country | US
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Telephone | 757-524-1951
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Fax |
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Provider Business Mailing Address
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Address Line | 3943 W PROVIDENCE RD
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2780
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Country | US
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Telephone | 757-592-5494
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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 | 0119002785
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License Number State | VA
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