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General NPI Number Information
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NPI Number | 1306783857
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Entity Type | Individual
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Provider Name | LAURENROSE FAITH KESSLER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 826 MEADOW VIEW RD
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City | BRISTOL
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State | TN
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Zip | 37620-9535
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Country | US
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Telephone | 423-793-3197
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Fax |
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Provider Business Mailing Address
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Address Line | 1193 W MOUNTAIN VIEW RD UNIT 303
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2130
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Country | US
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Telephone | 606-802-6356
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 8648
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License Number State | TN
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