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General NPI Number Information
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NPI Number | 1285120683
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Entity Type | Individual
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Provider Name | KRISTEN MORRISON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 8333 FELCH ST
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City | ZEELAND
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State | MI
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Zip | 49464-2608
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Country | US
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Telephone | 616-834-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 3210 DOGWOOD DR
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City | HAMILTON
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State | MI
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Zip | 49419-9631
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Country | US
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Telephone | 616-834-6194
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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 | 5201007014
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License Number State | MI
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