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General NPI Number Information
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NPI Number | 1689276206
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Entity Type | Individual
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Provider Name | JACQUELINE BABOULIS-KUHN MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 75 AUTUMN WAY
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City | MONTVALE
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State | NJ
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Zip | 07645-1794
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Country | US
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Telephone | 201-788-9695
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Fax |
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Provider Business Mailing Address
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Address Line | 75 AUTUMN WAY
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City | MONTVALE
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State | NJ
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Zip | 07645-1794
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Country | US
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Telephone | 201-788-9695
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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 |
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License Number State | FL
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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 |
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License Number State | NJ
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