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General NPI Number Information
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NPI Number | 1851610877
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Entity Type | Individual
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Provider Name | JACLYN SUZANNE KEARNS MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2002 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-7420
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Country | US
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Telephone | 405-307-2800
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Fax | 405-307-2801
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Provider Business Mailing Address
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Address Line | 4609 PIKEYS TRL
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City | TUTTLE
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State | OK
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Zip | 73089-5608
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Country | US
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Telephone | 580-302-0058
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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 | 1881
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License Number State | OK
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