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General NPI Number Information
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NPI Number | 1548314826
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Entity Type | Individual
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Provider Name | LISA M KEMPKE OT
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6301 TRANSIT RD
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City | DEPEW
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State | NY
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Zip | 14043-1051
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Country | US
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Telephone | 716-684-0400
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Fax | 716-683-7028
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Provider Business Mailing Address
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Address Line | 16 BANK ST
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City | BATAVIA
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State | NY
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Zip | 14020-2202
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Country | US
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Telephone | 585-344-7298
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Fax | 585-344-7298
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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 | 004852
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License Number State | NY
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