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General NPI Number Information
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NPI Number | 1467375923
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Entity Type | Individual
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Provider Name | JOSHUA MARK KELLNER OTR/L
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Gender | Male
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 8 SOONIPI CIR UNIT 8G
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City | SUNAPEE
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State | NH
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Zip | 03782-2944
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Country | US
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Telephone | 603-873-4678
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Fax |
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Provider Business Mailing Address
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Address Line | 23 RENIHAN MDWS
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City | LEBANON
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State | NH
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Zip | 03766-2607
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Country | US
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Telephone | 937-974-0523
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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 | 4128
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License Number State | NH
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