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General NPI Number Information
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NPI Number | 1942452859
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Entity Type | Individual
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Provider Name | KENDRA NICHOLE SEGER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 07/26/2018
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Provider Practice Location Address
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Address Line | 164 POLOKE PL
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City | HONOLULU
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State | HI
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Zip | 96822
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Country | US
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Telephone | 808-783-8471
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Fax |
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Provider Business Mailing Address
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Address Line | 164 POLOKE PL
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City | HONOLULU
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State | HI
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Zip | 96822-5008
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Country | US
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Telephone | 808-783-8471
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 8719
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 865
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License Number State | HI
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