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General NPI Number Information
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NPI Number | 1427091883
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Entity Type | Individual
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Provider Name | KELLYE W OLSON OTR/L, CPAMS
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 17201 SE 109TH TERRACE RD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-9019
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Country | US
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Telephone | 775-367-6937
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Fax | 850-308-7191
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Provider Business Mailing Address
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Address Line | 9926 SE SUNSET HARBOR RD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-4504
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Country | US
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Telephone | 859-433-1830
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT18697
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License Number State | FL
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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 | R3423
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License Number State | KY
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