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General NPI Number Information
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NPI Number | 1679248835
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Entity Type | Individual
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Provider Name | KATHRYN MAHONEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 13819 QUAIL POINTE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1066
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Country | US
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Telephone | 405-476-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 10212 CREEK MEADOW DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73151-9140
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Country | US
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Telephone | 405-596-7140
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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 | 5578
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License Number State | OK
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