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NPI 1245017458

NPI 1245017458 : KRISTIN MICHELLE DOWLING OT : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1245017458
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN MICHELLE DOWLING OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2023
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    Last Update Date     |    09/16/2025
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Provider Practice Location Address
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    Address Line         |    12276 SAN JOSE BLVD STE 508 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32223-8618
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    Country              |    US
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    Telephone            |    904-886-3228
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    Fax                  |    904-485-8876
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Provider Business Mailing Address
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    Address Line         |    12721 PERCY CREEK DR 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32218-1030
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    Country              |    US
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    Telephone            |    865-640-1850
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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       |    OT24985
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    License Number State |    FL
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