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General NPI Number Information
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NPI Number | 1831331743
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Entity Type | Organization
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Legal Business Name | KASPER KIDS THERAPY INC.
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 481 S 168TH AVE
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City | HOLLAND
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State | MI
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Zip | 49424-2390
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Country | US
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Telephone | 616-212-6294
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Fax |
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Provider Business Mailing Address
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Address Line | 481 S 168TH AVE
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City | HOLLAND
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State | MI
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Zip | 49424-2390
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Country | US
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Telephone | 616-212-6294
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. ERIN JANE KASPRZAK
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Credential | OTR
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Telephone | 616-212-6294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 5201007490
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License Number State | MI
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