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General NPI Number Information
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NPI Number | 1629213459
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Entity Type | Individual
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Provider Name | KIMBERLY A LANCASTER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 14031 DEL WEBB BLVD
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City | SUMMERFIELD
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State | FL
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Zip | 34491-7957
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Country | US
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Telephone | 352-854-4538
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Fax | 866-651-6041
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Provider Business Mailing Address
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Address Line | 3910 SW 4TH AVE
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City | OCALA
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State | FL
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Zip | 34471-8425
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Country | US
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Telephone | 352-216-1911
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Fax | 866-651-6041
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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 | OT 4267
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License Number State | FL
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