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General NPI Number Information
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NPI Number | 1265159784
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Entity Type | Individual
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Provider Name | MOLLY STULCE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 7819 CONSER PL
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City | OVERLAND PARK
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State | KS
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Zip | 66204-2820
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Country | US
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Telephone | 913-789-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 CODY CT
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City | LAWRENCE
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State | KS
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Zip | 66049-5110
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Country | US
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Telephone | 573-289-9901
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 17-04297
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 11232
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License Number State | NC
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