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General NPI Number Information
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NPI Number | 1063241719
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Entity Type | Individual
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Provider Name | KATLINE CARTWRIGHT
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Gender | Female
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Dates
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Enumeration Date | 07/31/2024
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1001 MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6780
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Country | US
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Telephone | 850-863-5174
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 ELEVATE AVE APT C203
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City | NAVARRE
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State | FL
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Zip | 32566-6994
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Country | US
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Telephone | 585-409-1660
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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 | OT26456
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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