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General NPI Number Information
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NPI Number | 1326252636
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Entity Type | Individual
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Provider Name | KATHI L WOOD OTR
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3400 W COMMUNITY DR
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City | MUNCIE
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State | IN
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Zip | 47304-5459
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Country | US
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Telephone | 765-289-2273
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Fax | 765-288-8745
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Provider Business Mailing Address
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Address Line | 6100 E INLOW SPRINGS RD
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City | MUNCIE
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State | IN
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Zip | 47302-9023
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Country | US
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Telephone | 765-254-1229
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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 | 31000798A
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License Number State | IN
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