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General NPI Number Information
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NPI Number | 1679457113
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Entity Type | Individual
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Provider Name | ANNIKA KINNEY MS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1277 TAYLOR RD
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City | OWEGO
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State | NY
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Zip | 13827-1274
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Country | US
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Telephone | 607-725-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 260 BARTON RD
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City | APALACHIN
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State | NY
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Zip | 13732-1922
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Country | US
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Telephone | 607-372-4242
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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 | P136667
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License Number State | NY
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