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General NPI Number Information
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NPI Number | 1700671518
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Entity Type | Individual
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Provider Name | KIM ELAINE BURNS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 2525 NW 112TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-7109
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Country | US
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Telephone | 405-749-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 1357 GLENWOOD DR
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City | TUTTLE
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State | OK
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Zip | 73089-0015
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Country | US
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Telephone | 405-760-9283
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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 | 1095
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License Number State | OK
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