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General NPI Number Information
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NPI Number | 1306328885
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Entity Type | Individual
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Provider Name | KATHLEEN FRANCES LORD OTR
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Gender | Female
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3450
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Country | US
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Telephone | 484-476-6408
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Fax |
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Provider Business Mailing Address
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Address Line | 65 NEELYTOWN RD
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City | CAMPBELL HALL
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State | NY
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Zip | 10916-2736
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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 | 021368
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License Number State | NY
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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 | 46TR00759000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC015563
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License Number State | PA
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