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General NPI Number Information
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NPI Number | 1235818915
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Entity Type | Individual
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Provider Name | KAYLEE HENSLEY
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Gender | Female
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 16363 PEARL RD # 312
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6002
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Country | US
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Telephone | 440-316-2416
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Fax |
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Provider Business Mailing Address
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Address Line | 174 TRAYMORE BLVD
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City | EASTLAKE
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State | OH
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Zip | 44095-1027
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Country | US
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Telephone | 440-679-0146
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA008414
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License Number State | OH
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