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General NPI Number Information
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NPI Number | 1982901773
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Entity Type | Individual
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Provider Name | KRISTEN ELIZABETH BARGER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 1905 W HART RD
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City | BELOIT
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State | WI
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Zip | 53511-2230
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Country | US
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Telephone | 608-365-2554
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33
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City | BRODHEAD
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State | WI
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Zip | 53520-0033
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Country | US
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Telephone | 781-405-8170
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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 | 4771-26
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License Number State | WI
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