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General NPI Number Information
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NPI Number | 1942843586
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Entity Type | Individual
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Provider Name | GABRIELLE BETH KAINS OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 10/28/2019
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Provider Practice Location Address
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Address Line | 822 MONTGOMERY AVE
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City | NARBERTH
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State | PA
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Zip | 19072-1937
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Country | US
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Telephone | 215-220-2210
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Fax |
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Provider Business Mailing Address
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Address Line | 419 S QUINCE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1236
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Country | US
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Telephone | 609-670-2723
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OC016438
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License Number State | PA
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