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General NPI Number Information
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NPI Number | 1326364746
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Entity Type | Individual
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Provider Name | KATHLEEN RAE FRENCH MHA, OTR
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Gender | Female
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 1300 PROFESSIONAL BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47714-8007
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Country | US
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Telephone | 812-319-6904
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Fax |
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Provider Business Mailing Address
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Address Line | 11047 COPPERLINE RD E
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City | EVANSVILLE
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State | IN
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Zip | 47712-8720
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Country | US
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Telephone | 812-985-2089
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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 | 31000092A
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License Number State | IN
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