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General NPI Number Information
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NPI Number | 1558728170
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Entity Type | Individual
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Provider Name | KIMBERLY F WILKERSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 4164 HALLS MILL RD
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City | MOBILE
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State | AL
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Zip | 36693-5614
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Country | US
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Telephone | 251-661-5404
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Fax |
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Provider Business Mailing Address
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Address Line | 3414 SPANISH ALY
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City | MOBILE
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State | AL
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Zip | 36693-5460
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Country | US
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Telephone | 251-209-5688
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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 | 3405
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License Number State | AL
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