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General NPI Number Information
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NPI Number | 1942955000
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Entity Type | Individual
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Provider Name | KRISTINE FLEMING OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 6411 N ROBERT RD
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-9146
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Country | US
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Telephone | 602-815-0065
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Fax |
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Provider Business Mailing Address
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Address Line | 6513 E CLIFTON TER
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-9283
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Country | US
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Telephone | 602-815-0065
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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 | OTH-007998
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License Number State | AZ
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