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General NPI Number Information
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NPI Number | 1861301376
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Entity Type | Individual
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Provider Name | KAELEI ANN SPINA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 1057 E HENRIETTA RD
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City | ROCHESTER
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State | NY
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Zip | 14623-2635
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Country | US
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Telephone | 585-258-3811
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Fax |
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Provider Business Mailing Address
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Address Line | 9411 VERSAILLES PLANK RD
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City | ANGOLA
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State | NY
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Zip | 14006-9513
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Country | US
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Telephone | 716-531-6074
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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 | 031382
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License Number State | NY
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