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General NPI Number Information
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NPI Number | 1134985021
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Entity Type | Individual
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Provider Name | JESSICA KLEMME OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 1818 W LINDSEY ST STE C-248
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City | NORMAN
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State | OK
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Zip | 73069-4159
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Country | US
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Telephone | 405-360-5554
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Fax | 405-360-1344
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Provider Business Mailing Address
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Address Line | 157 SE 22ND ST
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City | NEWCASTLE
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State | OK
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Zip | 73065-5348
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Country | US
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Telephone | 405-343-4084
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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 | 5886
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License Number State | OK
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