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General NPI Number Information
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NPI Number | 1083701072
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Entity Type | Individual
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Provider Name | KIRSTEN ERIN PATTERSON MA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 4710 OLD TROY PIKE
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City | DAYTON
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State | OH
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Zip | 45424-5740
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Country | US
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Telephone | 937-233-1230
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Fax | 937-236-8930
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Provider Business Mailing Address
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Address Line | 8006 LAKEPOINTE DR BLDG #1
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City | PLANTATION
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State | FL
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Zip | 33322-5726
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Country | US
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Telephone | 954-370-8410
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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 | 11786
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 007137
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License Number State | OH
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