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General NPI Number Information
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NPI Number | 1144680166
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Entity Type | Individual
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Provider Name | KAYLEY SCHOENTRUP
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Gender | Female
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 11/04/2022
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Provider Practice Location Address
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Address Line | 14221 E 16TH AVE
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City | SPOKANE VALLEY
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State | WA
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Zip | 99037-8629
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Country | US
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Telephone | 509-558-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 223 E 17TH AVE
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City | SPOKANE
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State | WA
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Zip | 99203-2204
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Country | US
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Telephone | 509-630-1215
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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 | 60630464
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License Number State | WA
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