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General NPI Number Information
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NPI Number | 1184928087
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Entity Type | Individual
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Provider Name | KATHLEEN L PLUMMER C.O.T.A., V.R.A.
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Gender | Female
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Dates
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Enumeration Date | 01/06/2011
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 501 N DOUGLAS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5007
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Country | US
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Telephone | 405-232-4644
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Fax | 405-231-0238
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Provider Business Mailing Address
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Address Line | 501 N DOUGLAS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5007
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Country | US
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Telephone | 405-232-4644
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Fax | 405-231-0238
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 989
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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License Number | 989
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License Number State | OK
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