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General NPI Number Information
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NPI Number | 1659724771
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Entity Type | Individual
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Provider Name | KEVIN TONEY OTR
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Gender | Male
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 1106 W DITTMAR RD
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City | AUSTIN
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State | TX
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Zip | 78745-6328
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Country | US
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Telephone | 512-383-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 HEATHERWOOD DR
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City | AUSTIN
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State | TX
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Zip | 78748-6028
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Country | US
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Telephone | 512-241-9474
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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 | 112360
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 112360
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License Number State | TX
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