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General NPI Number Information
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NPI Number | 1962398115
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Entity Type | Individual
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Provider Name | KIARA STINE OTR
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1415 LINCOLNWAY W STE M
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City | OSCEOLA
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State | IN
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Zip | 46561-2061
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Country | US
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Telephone | 574-675-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 104 N REBECCA ST
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City | CLAYPOOL
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State | IN
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Zip | 46510-8703
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Country | US
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Telephone | 765-570-0358
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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 | 31008697A
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License Number State | IN
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