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General NPI Number Information
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NPI Number | 1114902020
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Entity Type | Individual
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Provider Name | KARI SHANKS HALL M.A, OTR
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Gender | Female
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 7935 E PRENTICE AVE SUITE 104
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2708
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Country | US
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Telephone | 303-756-0280
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Fax | 303-756-6059
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Provider Business Mailing Address
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Address Line | 7935 E PRENTICE AVE SUITE 104
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2708
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Country | US
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Telephone | 303-756-0280
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Fax | 303-756-6059
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 600122
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License Number State | CO
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