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General NPI Number Information
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NPI Number | 1306057393
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Entity Type | Individual
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Provider Name | KATHLEEN MORRILL OTRL
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 600 VALLEY RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7029
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Country | US
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Telephone | 111-111-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 600 VALLEY RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-7029
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Country | US
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Telephone |
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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 | 5115
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 01238
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License Number State | RI
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