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General NPI Number Information
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NPI Number | 1457625907
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Entity Type | Individual
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Provider Name | ERIN E KELLY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 600 N WESTSHORE BLVD SUITE 601
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City | TAMPA
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State | FL
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Zip | 33609-1140
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Country | US
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Telephone | 804-443-4308
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 424 114 PARKER RD
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City | TWIN MOUNTAIN
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State | NH
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Zip | 03595
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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 | 0119005537
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License Number State | VA
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