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General NPI Number Information
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NPI Number | 1457685554
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Entity Type | Individual
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Provider Name | LORI KING MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 124 HEARTHSTONE DR
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City | BERLIN
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State | NJ
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Zip | 08009-9550
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Country | US
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Telephone | 856-304-0718
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Fax |
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Provider Business Mailing Address
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Address Line | 4639 35TH ST UNIT 1
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City | SAN DIEGO
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State | CA
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Zip | 92116-3571
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Country | US
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Telephone | 856-304-0718
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 10848
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License Number State | CA
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