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General NPI Number Information
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NPI Number | 1427402437
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Entity Type | Individual
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Provider Name | SHERRY KIOUS MOTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 4301 NW 63RD ST STE 304
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1504
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Country | US
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Telephone | 405-858-8737
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Fax | 405-879-0247
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Provider Business Mailing Address
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Address Line | 8412 N ASHLEY DR
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City | EDMOND
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State | OK
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Zip | 73025-1559
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Country | US
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Telephone | 405-833-7781
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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 | 1823
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License Number State | OK
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