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General NPI Number Information
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NPI Number | 1891746285
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Entity Type | Individual
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Provider Name | KIMBERLY GOLDIE STAINES OTR, CHT
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6560 FANNIN ST SUITE 450
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City | HOUSTON
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State | TX
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Zip | 77030-2761
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Country | US
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Telephone | 713-357-7400
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Fax | 713-357-7401
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Provider Business Mailing Address
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Address Line | 13122 SKYVIEW LANDING DR
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City | HOUSTON
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State | TX
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Zip | 77047-8104
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Country | US
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Telephone | 713-702-2731
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Fax | 713-357-7401
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 109266
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License Number State | TX
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