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General NPI Number Information
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NPI Number | 1063663003
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Entity Type | Individual
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Provider Name | JAMIE LOUISE MYERS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/30/2009
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Provider Practice Location Address
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Address Line | 7535 FALMOUTH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-4007
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Country | US
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Telephone | 913-271-0721
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Fax | 913-642-2708
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Provider Business Mailing Address
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Address Line | 7535 FALMOUTH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-4007
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Country | US
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Telephone | 913-271-0721
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Fax | 913-642-2708
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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 | 2008019676
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License Number State | MO
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