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General NPI Number Information
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NPI Number | 1962628925
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Entity Type | Organization
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Legal Business Name | ABILITY ONE REHABILITATION
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 298 PEACH ORCHARD RD
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City | SENATOBIA
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State | MS
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Zip | 38668-3841
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Country | US
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Telephone | 662-292-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 298 PEACH ORCHARD RD
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City | SENATOBIA
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State | MS
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Zip | 38668-3841
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Country | US
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Telephone | 662-292-0329
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. VICTORIA LYNN HARPER
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Credential | OTD, OTRL
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Telephone | 662-292-0329
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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 | OT1782
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License Number State | MS
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