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General NPI Number Information
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NPI Number | 1568387165
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Entity Type | Individual
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Provider Name | KAITLYN SPITLER OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 624 US HIGHWAY 17 S
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City | HOLLY RIDGE
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State | NC
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Zip | 28445-8660
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Country | US
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Telephone | 910-329-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 58 PHYSICIANS DR NW STE 106
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City | SUPPLY
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State | NC
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Zip | 28462-4216
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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 | 18509
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License Number State | NC
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