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General NPI Number Information
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NPI Number | 1942166434
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Entity Type | Individual
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Provider Name | SABRIYYA JANELLE ROUSE OTD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 351 THORNTON RD
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-4122
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Country | US
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Telephone | 770-577-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 200 NEREM ST NW UNIT 532
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City | ATLANTA
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State | GA
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Zip | 30313-2565
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Country | US
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Telephone | 877-590-9270
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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 | OT009742
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License Number State | GA
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