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General NPI Number Information
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NPI Number | 1326635202
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Entity Type | Individual
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Provider Name | KENDAL PAIGE LOVE
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Gender | Female
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 336 S VANDERHURST AVE
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City | KING CITY
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State | CA
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Zip | 93930-2984
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Country | US
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Telephone | 831-385-2940
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 MAJESTIC DR
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City | WILMINGTON
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State | DE
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Zip | 19810-2443
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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 |
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License Number State |
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