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General NPI Number Information
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NPI Number | 1689595233
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Entity Type | Individual
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Provider Name | KENDALL KEETON OTD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 4601 HOLLOW TREE DR STE 107
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City | ARLINGTON
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State | TX
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Zip | 76018-1288
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Country | US
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Telephone | 817-704-3408
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932184
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City | ATLANTA
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State | GA
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Zip | 31193-2184
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Country | US
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Telephone | 904-895-5518
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Fax | 904-895-5518
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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 | 126576
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License Number State | TX
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