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General NPI Number Information
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NPI Number | 1386447035
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Entity Type | Individual
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Provider Name | KIERAN PATRICK BOLGER OTR
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Gender | Male
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 215 W MISSION ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2820
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Country | US
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Telephone | 805-259-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 231 LOS AGUAJES AVE APT B
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City | SANTA BARBARA
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State | CA
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Zip | 93101-5704
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Country | US
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Telephone | 805-704-3157
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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 | CA
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