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General NPI Number Information
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NPI Number | 1114239084
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Entity Type | Individual
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Provider Name | KIRSTEN SLOMINSKI MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 106 DIVISION AVE N SUITE B
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City | CAVALIER
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State | ND
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Zip | 58220-4408
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Country | US
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Telephone | 701-265-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 1806 2ND AVE N
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City | GRAND FORKS
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State | ND
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Zip | 58203-3308
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Country | US
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Telephone | 218-791-3819
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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 | 4624
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License Number State | AZ
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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 | 1209
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 104172
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License Number State | MN
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