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General NPI Number Information
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NPI Number | 1578607271
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Entity Type | Individual
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Provider Name | KATHLEEN A KULESA
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 6474 RIDGE RD
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City | PORT RICHEY
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State | FL
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Zip | 34668-6748
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Country | US
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Telephone | 278-460-5477
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Fax | 727-847-0755
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Provider Business Mailing Address
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Address Line | 2850 COUNTRYBROOK DR APT F-23
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City | PALM HARBOR
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State | FL
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Zip | 34684-4847
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Country | US
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Telephone | 720-289-5864
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 21087
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License Number State | FL
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