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General NPI Number Information
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NPI Number | 1467038364
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Entity Type | Individual
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Provider Name | KAYLE SUE EASTES
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 1101 SPRUCE ST
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City | ELLIS
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State | KS
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Zip | 67637-1757
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Country | US
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Telephone | 785-726-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E 20TH ST
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City | HAYS
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State | KS
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Zip | 67601-3237
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Country | US
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Telephone | 785-657-1437
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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 | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number | 17-03417
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 17-03417
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 17-03417
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License Number State | KS
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