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General NPI Number Information
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NPI Number | 1982007910
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Entity Type | Individual
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Provider Name | KARA LESSMAN OT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2014
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 1501 S MUNN AVE
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City | MARYVILLE
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State | MO
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Zip | 64468-2757
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Country | US
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Telephone | 660-562-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S MUNN AVE
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City | MARYVILLE
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State | MO
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Zip | 64468-2757
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Country | US
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 2014027208
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License Number State | MO
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