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General NPI Number Information
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NPI Number | 1760412878
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Entity Type | Individual
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Provider Name | LYNN M KAISER OT
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 14700 KING RD STE B
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City | RIVERVIEW
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State | MI
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Zip | 48193-7909
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Country | US
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Telephone | 734-288-0235
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Fax | 734-288-0236
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Provider Business Mailing Address
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Address Line | 14700 KING RD STE B
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City | RIVERVIEW
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State | MI
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Zip | 48193-7909
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Country | US
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Telephone | 734-288-0235
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Fax | 734-288-0236
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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 | MI
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