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General NPI Number Information
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NPI Number | 1538657820
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Entity Type | Individual
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Provider Name | KYLENE PATTERSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 3 VISION DR
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City | NATICK
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State | MA
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Zip | 01760-2059
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Country | US
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Telephone | 508-655-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 119 REDEMPTION ROCK TRL
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City | STERLING
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State | MA
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Zip | 01564-2446
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Country | US
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Telephone | 774-345-0827
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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 | 8502
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License Number State | MA
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