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General NPI Number Information
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NPI Number | 1659728103
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Entity Type | Organization
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Legal Business Name | KIMBERLY D. DOZIER, OTR/L, INC
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Dates
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Enumeration Date | 05/14/2016
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Last Update Date | 05/14/2016
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Provider Practice Location Address
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Address Line | 5563 BRADFORDSVILLE RD
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City | BRADFORDSVILLE
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State | KY
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Zip | 40009-8904
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Country | US
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Telephone | 270-402-2306
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Fax |
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Provider Business Mailing Address
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Address Line | 5563 BRADFORDSVILLE RD
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City | BRADFORDSVILLE
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State | KY
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Zip | 40009-8904
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Country | US
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Telephone | 270-402-2306
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OCCUPATIONAL THERAPIST
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Name | MRS. KIMBERLY D DOZIER
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Credential | OTR/L
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Telephone | 270-402-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | KYR2631
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License Number State | KY
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