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General NPI Number Information
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NPI Number | 1700324936
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Entity Type | Organization
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Legal Business Name | KRISTEN SMITH AND ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 309 NW 144TH ST
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City | EDMOND
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State | OK
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Zip | 73013-2411
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Country | US
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Telephone | 405-388-8545
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Fax | 888-606-5313
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Provider Business Mailing Address
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Address Line | 309 NW 144TH ST
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City | EDMOND
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State | OK
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Zip | 73013-2411
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Country | US
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Telephone | 405-388-8545
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Fax | 888-606-5313
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Authorized Official
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Title or Position | BUSINESS OWNER AND PRACTITIONER
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Name | KRISTEN SMITH
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Credential | OTD, OTR/L
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Telephone | 405-388-8545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2003
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License Number State | OK
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