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General NPI Number Information
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NPI Number | 1063764041
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Entity Type | Individual
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Provider Name | KATHRYN PAGE BINNINGER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 1145 STURGIS ROAD
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278-8275
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Country | US
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Telephone | 760-830-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 STURGIS ROAD
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278-8275
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Country | US
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Telephone | 760-830-2119
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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 | OT 15439
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License Number State | FL
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