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General NPI Number Information
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NPI Number | 1104773548
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Entity Type | Individual
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Provider Name | KELSEY LYNN POWELL MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1226 ROSSMOOR PKWY
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City | WALNUT CREEK
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State | CA
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Zip | 94595-2538
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Country | US
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Telephone | 925-975-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1574 HEARTLAND PATH
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City | HOSCHTON
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State | GA
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Zip | 30548-1793
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Country | US
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Telephone | 678-836-8249
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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 | 28687
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License Number State | CA
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