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General NPI Number Information
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NPI Number | 1225598725
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Entity Type | Organization
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Legal Business Name | KAVANA CONSULTANTS LLC
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 207 YOUNG ST
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City | TALLAHASSEE
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State | FL
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Zip | 32301-5437
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Country | US
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Telephone | 850-933-9778
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Fax |
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Provider Business Mailing Address
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Address Line | 207 YOUNG ST
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City | TALLAHASSEE
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State | FL
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Zip | 32301-5437
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Country | US
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Telephone | 850-933-9778
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL CONSULTANT/OT
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Name | CHERYL DENISE HAYNES
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Credential | OTR/L
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Telephone | 850-933-9778
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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 |
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License Number State |
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