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General NPI Number Information
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NPI Number | 1043415664
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Entity Type | Individual
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Provider Name | KIMBERLY MCGUIRE
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 6977 PROFESSIONAL PARKWAY EAST
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34240
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Country | US
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Telephone | 941-758-3140
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Fax | 941-702-9988
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Provider Business Mailing Address
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Address Line | 2554 PARADISE PLUM DR
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City | SARASOTA
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State | FL
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Zip | 34240-1239
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Country | US
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Telephone | 920-236-1850
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Fax | 941-702-9988
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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 | 2209-026
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License Number State | WI
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