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NPI 1619430154

NPI 1619430154 : KAYLEE SKAPINAKIS OTR/L : COLUMBUS, GA

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General NPI Number Information
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    NPI Number           |    1619430154
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    Entity Type          |    Individual 
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    Provider Name        |    KAYLEE SKAPINAKIS OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/11/2019
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    Last Update Date     |    09/04/2024
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Provider Practice Location Address
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    Address Line         |    2424 DOUBLE CHURCHES RD 
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31909-2741
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    Country              |    US
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    Telephone            |    706-324-6112
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    Fax                  |    706-596-8259
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Provider Business Mailing Address
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    Address Line         |    2361 BLAKERS BLVD 
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    City                 |    BLUFFTON
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    State                |    SC
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    Zip                  |    29909-7871
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    Country              |    US
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    Telephone            |    704-359-7296
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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       |    5528
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    License Number State |    SC
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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       |    OT009151
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    License Number State |    GA
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