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General NPI Number Information
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NPI Number | 1003465071
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Entity Type | Individual
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Provider Name | KELLY PIXLEY MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 777 GOGUAC ST W
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City | BATTLE CREEK
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State | MI
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Zip | 49015-2097
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Country | US
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Telephone | 269-237-7862
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Fax |
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Provider Business Mailing Address
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Address Line | 777 GOGUAC ST W
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City | BATTLE CREEK
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State | MI
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Zip | 49015-2097
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Country | US
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Telephone | 269-223-7786
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5201010645
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License Number State | MI
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