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General NPI Number Information
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NPI Number | 1518218197
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Entity Type | Individual
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Provider Name | MARGRET I. KINGREY OTR
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Gender | Female
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 5911 W. STATE RD.
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City | BLOOMINGTON
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State | IN
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Zip | 47404-0537
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Country | US
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Telephone | 812-935-5467
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Fax |
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Provider Business Mailing Address
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Address Line | 8490 N. MT. TABOR RD. P. O. BOX 273
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City | ELLETTSVILLE
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State | IN
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Zip | 47429-0273
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Country | US
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Telephone | 812-876-8214
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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 | 31005130A
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License Number State | IN
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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 | 5955
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License Number State | MA
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