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General NPI Number Information
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NPI Number | 1124525126
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Entity Type | Individual
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Provider Name | KATHRYN STENFTENAGEL
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Gender | Female
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Dates
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Enumeration Date | 04/07/2018
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Last Update Date | 04/07/2018
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Provider Practice Location Address
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Address Line | 11230 PIPPIN RD
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City | CINCINNATI
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State | OH
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Zip | 45231-1202
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Country | US
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Telephone | 513-851-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 6613 MIAMI TRAILS DR
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City | LOVELAND
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State | OH
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Zip | 45140-8047
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Country | US
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Telephone | 513-317-1157
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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 | OT010068
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License Number State | OH
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