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General NPI Number Information
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NPI Number | 1063552131
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Entity Type | Individual
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Provider Name | KATHERINE ANN DOS SANTOS OTR
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 1020 S 23RD ST
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City | BEAUMONT
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State | TX
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Zip | 77707-4202
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Country | US
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Telephone | 409-842-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 6965 RENO CIR
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City | BEAUMONT
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State | TX
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Zip | 77708-3594
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Country | US
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Telephone | 516-551-5383
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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 | 0144401
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License Number State | NY
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