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NPI 1457110009

NPI 1457110009 : KRISTI FLORENCE : MARIETTA, OH

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General NPI Number Information
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    NPI Number           |    1457110009
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTI FLORENCE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2024
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    Last Update Date     |    12/10/2025
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Provider Practice Location Address
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    Address Line         |    2333 OH B STATE ROUTE 821 
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    City                 |    MARIETTA
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    State                |    OH
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    Zip                  |    45750
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    Country              |    US
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    Telephone            |    740-373-6669
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    Fax                  |    740-376-5809
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Provider Business Mailing Address
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    Address Line         |    3611 STELLA ST 
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    City                 |    PARKERSBURG
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    State                |    WV
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    Zip                  |    26104-2005
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    Country              |    US
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    Telephone            |    
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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       |    1364
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    License Number State |    WV
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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       |    OT007654
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    License Number State |    OH
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