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General NPI Number Information
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NPI Number | 1003847252
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Entity Type | Individual
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Provider Name | STEPHANIE L KUYKENDALL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 221 S FLORENCE AVE SUITE 150
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City | CLAREMORE
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State | OK
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Zip | 74017
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Country | US
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Telephone | 918-645-3060
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Fax | 918-341-3888
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Provider Business Mailing Address
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Address Line | PO BOX 2206
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City | CLAREMORE
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State | OK
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Zip | 74018-2206
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Country | US
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Telephone | 918-645-3060
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Fax | 918-341-3888
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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 | OT753
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License Number State | OK
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