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General NPI Number Information
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NPI Number | 1255626776
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Entity Type | Individual
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Provider Name | KIM KUJATH
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Gender | Female
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 184 FURSE LAKES CIR UNIT F1
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City | NAPLES
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State | FL
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Zip | 34104-6441
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Country | US
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Telephone | 239-207-6480
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Fax |
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Provider Business Mailing Address
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Address Line | 184 FURSE LAKES CIRCLE UNIT F1
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City | NAPLES
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State | FL
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Zip | 34104
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Country | US
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Telephone | 239-207-6480
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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 | 14236
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License Number State | FL
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