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General NPI Number Information
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NPI Number | 1134212707
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Entity Type | Individual
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Provider Name | AMY KELLY DANIELSON KRIPPNER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 2653 COUNTY ROAD 74
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City | SAINT CLOUD
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State | MN
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Zip | 56301-2205
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Country | US
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Telephone | 320-420-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 312 4TH STREET SOUTHWEST SUITE 11
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City | WILLMAR
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State | MN
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Zip | 56201
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Country | US
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Telephone | 320-214-7082
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Fax | 320-235-8059
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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 | 102487
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License Number State | MN
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