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General NPI Number Information
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NPI Number | 1003328147
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Entity Type | Individual
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Provider Name | KIMBERLY ANN OZIAS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 10400 HAMBURG RD
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City | HAMBURG
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State | MI
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Zip | 48139-1204
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Country | US
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Telephone | 810-844-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 10192 HONEYCOMB CT
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City | PINCKNEY
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State | MI
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Zip | 48169-9472
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Country | US
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Telephone | 810-844-3812
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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 | 5201009873
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License Number State | MI
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