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General NPI Number Information
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NPI Number | 1982141743
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Entity Type | Individual
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Provider Name | KATHLEEN BOYLE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 2S101 HARTER RD
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City | KANEVILLE
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State | IL
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Zip | 60144-1000
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Country | US
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Telephone | 630-276-6580
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17
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City | KANEVILLE
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State | IL
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Zip | 60144-0017
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Country | US
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Telephone | 630-276-6580
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056013269
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License Number State | IL
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