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General NPI Number Information
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NPI Number | 1245887991
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Entity Type | Individual
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Provider Name | KYLE BAILEY OTD, OTR/L, CHT
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Gender | Male
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 3838 MASSILLON RD
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City | UNIONTOWN
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State | OH
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Zip | 44685-7964
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Country | US
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Telephone | 330-899-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 2590 MARY LOU ST NW
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City | MASSILLON
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State | OH
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Zip | 44646-2734
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Country | US
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Telephone | 330-807-0691
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 097509
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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