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General NPI Number Information
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NPI Number | 1932509718
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Entity Type | Individual
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Provider Name | ANNA THOMPSON PEELER MOT/L
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Gender | Female
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 508 NAVIGATOR DR
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City | HAMPSTEAD
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State | NC
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Zip | 28443
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Country | US
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Telephone | 910-685-4505
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Fax | 910-939-1519
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Provider Business Mailing Address
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Address Line | 517 TRACE DR
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City | WILMINGTON
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State | NC
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Zip | 28411-7311
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Country | US
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Telephone | 910-599-0534
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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 | 9364
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License Number State | NC
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