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General NPI Number Information
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NPI Number | 1407352644
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Entity Type | Individual
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Provider Name | JACLYN CHRISTINE KARNES OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 6215 EXECUTIVE BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20852-3906
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Country | US
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Telephone | 240-355-7746
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Fax |
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Provider Business Mailing Address
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Address Line | 703 SUMMERTIME DR
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City | ODENTON
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State | MD
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Zip | 21113-1591
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Country | US
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Telephone | 907-602-7702
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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 | 08396
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License Number State | MD
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