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General NPI Number Information
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NPI Number | 1407039514
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Entity Type | Individual
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Provider Name | JILL LYNETTE ARNOLD OT
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Gender | Female
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 405 GALAXIE AVE
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2078
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Country | US
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Telephone | 816-380-6600
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Fax | 816-380-6999
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Provider Business Mailing Address
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Address Line | 5127 SW SNOWY EGRET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4523
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Country | US
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Telephone | 816-537-0051
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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 | 2001021049
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License Number State | MO
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