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General NPI Number Information
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NPI Number | 1629506936
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Entity Type | Individual
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Provider Name | KERI BOYCE MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 06/30/2024
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Provider Practice Location Address
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Address Line | 109 W SMILEY AVE
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City | SHELBY
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State | OH
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Zip | 44875-2112
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Country | US
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Telephone | 419-342-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 576 CLARENDON AVE
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City | GALION
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State | OH
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Zip | 44833-9330
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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 | OT009735
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License Number State | OH
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