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General NPI Number Information
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NPI Number | 1952646192
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Entity Type | Individual
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Provider Name | KRISTIN ANN STENSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4750 HARTLAND PKWY STE 268
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City | LEXINGTON
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State | KY
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Zip | 40515-1558
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Country | US
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Telephone | 859-230-7952
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Fax |
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Provider Business Mailing Address
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Address Line | 233 TAHOE WAY
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City | RICHMOND
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State | KY
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Zip | 40475-7957
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Country | US
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Telephone | 859-230-7952
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | R4341
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License Number State | KY
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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 | 135018
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 135018
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License Number State | KY
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