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General NPI Number Information
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NPI Number | 1336845213
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Entity Type | Individual
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Provider Name | KATHRYN BARRY MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 91-2301 OLD FT WEAVER RD
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City | EWA BEACH
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State | HI
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Zip | 96706-3602
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Country | US
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Telephone | 808-436-7903
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700845
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City | KAPOLEI
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State | HI
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Zip | 96709-0845
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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 | OT-2275-0
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License Number State | HI
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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 | 14187
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | OT-2275-0
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License Number State | HI
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