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General NPI Number Information
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NPI Number | 1184748998
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Entity Type | Individual
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Provider Name | KELLY MCDONALD MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1365 WAMPANOAG TRL UNIT 3
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City | RIVERSIDE
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State | RI
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Zip | 02915-1037
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Country | US
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Telephone | 401-206-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 25 LYNN AVE
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City | RUMFORD
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State | RI
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Zip | 02916-3114
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Country | US
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Telephone | 401-868-8877
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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 | 9092
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT01160
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License Number State | RI
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