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General NPI Number Information
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NPI Number | 1396059192
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Entity Type | Individual
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Provider Name | ALISA ANN GABEL OT
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 5256 N WOODLAWN BLVD STE 125
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City | WICHITA
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State | KS
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Zip | 67226-3613
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Country | US
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Telephone | 316-973-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 9238 W CENTRAL PARK ST
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City | WICHITA
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State | KS
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Zip | 67205-2121
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Country | US
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Telephone | 316-258-3009
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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 | T02784
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 17-02684
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License Number State | KS
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