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General NPI Number Information
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NPI Number | 1124370184
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Entity Type | Individual
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Provider Name | SABRINA MARIE KAISER OTR
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 205 NOLAN PKWY
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City | ARCHBOLD
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State | OH
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Zip | 43502-8404
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Country | US
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Telephone | 567-444-4800
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Fax | 111-111-1111
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Provider Business Mailing Address
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Address Line | 205 NOLAN PKWY
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City | ARCHBOLD
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State | OH
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Zip | 43502-8404
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Country | US
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Telephone | 567-444-4800
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Fax | 610-438-2046
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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 | 008169
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License Number State | OH
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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 | OT008169
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License Number State | OH
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