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General NPI Number Information
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NPI Number | 1942982798
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Entity Type | Individual
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Provider Name | KYLEE ANN HOWELL OTD, OTR
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 18853 US HIGHWAY 12 STE 3
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City | NEW BUFFALO
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State | MI
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Zip | 49117-8100
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Country | US
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Telephone | 269-235-9821
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Fax | 269-235-9821
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Provider Business Mailing Address
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Address Line | 9276 S STATE ROAD 39
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City | UNION MILLS
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State | IN
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Zip | 46382-9739
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Country | US
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Telephone | 219-242-5549
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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 | 31008074A
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License Number State | IN
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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 | 5201014038
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License Number State | MI
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