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General NPI Number Information
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NPI Number | 1962672162
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Entity Type | Individual
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Provider Name | OLIVIA MELLICENT MCKEE OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 10014 N RODNEY PARHAM RD STE 100
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City | LITTLE ROCK
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State | AR
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Zip | 72227-5587
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Country | US
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Telephone | 501-224-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 4404 GREENWAY DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-7408
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Country | US
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Telephone | 501-812-5250
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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 | OTR1825
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License Number State | AR
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