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General NPI Number Information
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NPI Number | 1639539950
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Entity Type | Individual
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Provider Name | KAITLYNN LILLIAN CARLIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 109 BEE ST
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-577-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 HORSESHOE BND
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-7404
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Country | US
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Telephone | 203-444-9530
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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 | OC014331
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License Number State | PA
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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 | 5132
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License Number State | SC
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