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General NPI Number Information
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NPI Number | 1952486227
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Entity Type | Individual
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Provider Name | KELLY A KAMANN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3148 W CENTRAL AVE
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City | TOLEDO
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State | OH
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Zip | 43606-2920
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Country | US
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Telephone | 419-241-6219
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Fax | 419-241-5912
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Provider Business Mailing Address
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Address Line | 711 N MAIN ST
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City | WALBRIDGE
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State | OH
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Zip | 43465-1041
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Country | US
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Telephone | 419-241-6219
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Fax | 419-241-5912
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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 | OT-5512
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License Number State | OH
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