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General NPI Number Information
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NPI Number | 1548569775
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Entity Type | Individual
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Provider Name | THERESA MARINI-KAIN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 200 SKILES BLVD
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City | WEST CHESTER
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State | PA
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Zip | 19382-7321
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Country | US
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Telephone | 610-455-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SKILES BLVD
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City | WEST CHESTER
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State | PA
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Zip | 19382-7321
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Country | US
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Telephone | 610-455-4040
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | U1-0000330
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License Number State | DE
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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 | U1-0000330
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC006672L
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License Number State | PA
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