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General NPI Number Information
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NPI Number | 1538779426
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Entity Type | Individual
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Provider Name | KYLIE LEVINE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 721 METROPOLITAN AVE STE C
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1403
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Country | US
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Telephone | 402-210-9321
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 JOHNSON DR
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City | MISSION
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State | KS
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Zip | 66202-3336
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Country | US
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Telephone |
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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 | 2020023152
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License Number State | MO
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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 | 17-03713
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License Number State | KS
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