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General NPI Number Information
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NPI Number | 1285760496
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Entity Type | Individual
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Provider Name | KIMBERLY ANN PADDY OCCUPATIONAL THERAPI
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Gender | Female
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 960 MAPLE RD
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City | ELMA
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State | NY
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Zip | 14059-9530
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Country | US
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Telephone | 716-805-1555
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Fax | 716-805-1441
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Provider Business Mailing Address
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Address Line | 27 GREENFIELD ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-4218
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Country | US
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Telephone | 716-648-0770
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Fax | 716-655-1740
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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 | 010816-1
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License Number State | NY
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