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General NPI Number Information
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NPI Number | 1891161261
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Entity Type | Individual
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Provider Name | DANIELLE GODDARD KINSLEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 28 JIMMY DOOLITTLE DR
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City | GREENVILLE
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State | SC
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Zip | 29607-2622
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Country | US
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Telephone | 864-679-8606
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Fax |
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Provider Business Mailing Address
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Address Line | 6 S ANTIGO CT
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City | GREER
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State | SC
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Zip | 29650-2981
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Country | US
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Telephone | 912-667-6006
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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 | OT007134
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License Number State | GA
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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 | 5944
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License Number State | SC
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