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General NPI Number Information
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NPI Number | 1538018098
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Entity Type | Individual
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Provider Name | BRIDGET K KENNEDY OTD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 405 SILVERSIDE RD STE 200
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City | WILMINGTON
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State | DE
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Zip | 19809-1768
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Country | US
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Telephone | 302-206-6158
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Fax |
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Provider Business Mailing Address
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Address Line | 2217 MILL LN
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City | WILMINGTON
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State | DE
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Zip | 19810-4027
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Country | US
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Telephone | 302-290-7841
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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 | U1-0012806
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License Number State | DE
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