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General NPI Number Information
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NPI Number | 1902205313
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Entity Type | Individual
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Provider Name | KELLY PARKER ARMSTEAD MS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 6108 VILLAGE OAKS DR STE C
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City | PENSACOLA
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State | FL
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Zip | 32504-6907
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Country | US
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Telephone | 334-488-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 8720 SCENIC HIGHWAY
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City | PENSACOLA
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State | FL
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Zip | 32514
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Country | US
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Telephone | 334-488-4711
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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 | 3580
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License Number State | AL
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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 | OT15182
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT 15182
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License Number State | FL
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