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General NPI Number Information
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NPI Number | 1104038447
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Entity Type | Individual
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Provider Name | KALWANT SINGH 0TR/L
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Gender | Male
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Dates
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Enumeration Date | 05/06/2007
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 2504 WESTMINSTER DR MEDICAL LODGES INC GREAT BEND
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City | GREAT BEND
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State | KS
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Zip | 67530
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Country | US
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Telephone | 620-792-2165
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Fax | 620-665-6263
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Provider Business Mailing Address
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Address Line | 2504 WESTMINSTER DRIVE
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City | HUTCHINSON
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State | KS
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Zip | 67502
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Country | US
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Telephone | 620-664-8179
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Fax | 620-665-6263
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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 | 17-01717
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License Number State | KS
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