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General NPI Number Information
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NPI Number | 1093216012
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Entity Type | Individual
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Provider Name | KATHLEEN GRIFFITH BUHR
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Gender | Female
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Dates
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Enumeration Date | 02/25/2018
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Last Update Date | 02/25/2018
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Provider Practice Location Address
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Address Line | 18700 AUDETTE ST
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City | DEARBORN
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State | MI
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Zip | 48124-4222
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Country | US
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Telephone | 313-827-7059
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Fax | 313-827-7061
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Provider Business Mailing Address
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Address Line | 33101 HAMPSHIRE RD
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City | LIVONIA
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State | MI
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Zip | 48154-2952
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Country | US
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Telephone | 248-470-4649
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Fax | 313-827-7061
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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 | 5201000061
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License Number State | MI
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