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General NPI Number Information
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NPI Number | 1295907319
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Entity Type | Individual
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Provider Name | KASANDRA KRAMER GEHRING
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Gender | Female
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 6859 TOWN HARBOUR BLVD APT 1411
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City | BOCA RATON
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State | FL
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Zip | 33433-5083
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Country | US
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Telephone | 920-358-0506
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Fax |
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Provider Business Mailing Address
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Address Line | 6859 TOWN HARBOUR BLVD APT 1411
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City | BOCA RATON
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State | FL
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Zip | 33433-5083
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Country | US
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Telephone | 920-358-0506
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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 | 3922-026
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 14978
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License Number State | FL
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