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General NPI Number Information
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NPI Number | 1770557191
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Entity Type | Individual
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Provider Name | KRISTIN MICHELLE SCHMIDT SOLBERG OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3207 220TH TRL
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City | AMANA
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State | IA
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Zip | 52203-8206
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Country | US
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Telephone | 319-622-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 3037 210TH ST
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City | HOMESTEAD
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State | IA
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Zip | 52236-8524
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Country | US
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Telephone | 319-662-4153
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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 | 01382
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License Number State | IA
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