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General NPI Number Information
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NPI Number | 1295900173
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Entity Type | Individual
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Provider Name | JENNIFER KREMER OTR
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 1422 HARRISON DR
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City | GREENWOOD
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State | IN
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Zip | 46143-8432
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Country | US
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Telephone | 317-313-8939
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Fax | 317-882-7852
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Provider Business Mailing Address
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Address Line | 1422 HARRISON DR
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City | GREENWOOD
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State | IN
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Zip | 46143-8432
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Country | US
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Telephone | 317-313-8939
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Fax | 317-882-7852
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 31002499A
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License Number State | IN
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