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General NPI Number Information
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NPI Number | 1689807836
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Entity Type | Individual
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Provider Name | JANET ELIZABETH KEMMERER O.D., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 6124 BLEST LANE
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City | RICHMOND
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State | VA
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Zip | 23237-2295
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Country | US
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Telephone | 804-279-9141
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Fax | 804-279-9140
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Provider Business Mailing Address
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Address Line | 6124 BLEST LANE
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City | RICHMOND
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State | VA
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Zip | 23237-2295
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Country | US
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Telephone | 804-279-9141
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Fax | 804-279-9140
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000393
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 0618000393
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119003841
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License Number State | VA
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