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General NPI Number Information
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NPI Number | 1083822910
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Entity Type | Individual
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Provider Name | LORI J MALONE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 2301 OLD MAIN ST OFC 1
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City | MAYSVILLE
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State | KY
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Zip | 41056-8934
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Country | US
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Telephone | 606-584-3230
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Fax |
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Provider Business Mailing Address
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Address Line | 3106 PICKETT LN MAYSVILLE
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City | MAYSVILLE
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State | KY
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Zip | 41056-8108
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Country | US
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Telephone | 606-584-3230
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | R3443
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License Number State | KY
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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 | 132003
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License Number State | KY
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