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General NPI Number Information
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NPI Number | 1093116147
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Entity Type | Individual
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Provider Name | CARLEY KLESS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8685 ERIE RD
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City | ANGOLA
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State | NY
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Zip | 14006-9620
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Country | US
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Telephone | 716-549-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 6516 VERMONT HILL RD
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City | SOUTH WALES
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State | NY
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Zip | 14139-9734
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Country | US
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Telephone | 716-560-0153
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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 | 019050
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License Number State | NY
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