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General NPI Number Information
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NPI Number | 1871385310
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Entity Type | Individual
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Provider Name | HEATHER R KIZIAH OTR/L, CLT
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 7200 CAMBRIDGE ST
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City | HOUSTON
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State | TX
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Zip | 77030-4202
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Country | US
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Telephone | 832-354-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 2061 21ST ST SE APT P
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City | HICKORY
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State | NC
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Zip | 28602-3469
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Country | US
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Telephone | 828-404-9647
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Fax | 828-404-9647
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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 | 12867
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 125062
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License Number State | TX
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