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General NPI Number Information
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NPI Number | 1952019689
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Entity Type | Individual
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Provider Name | EMILY GRAY
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Gender | Female
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 900 HOLCOMB BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3903
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Country | US
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Telephone | 228-872-6821
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Fax |
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Provider Business Mailing Address
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Address Line | 111 GLEN EAGLES DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-9093
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Country | US
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Telephone | 228-355-4242
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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 |
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License Number State |
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