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General NPI Number Information
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NPI Number | 1093089377
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Entity Type | Individual
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Provider Name | KARL PFLUGRATH OTR/L
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Gender | Male
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Dates
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Enumeration Date | 03/03/2012
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 7050 COVEY RD
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City | FORESTVILLE
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State | CA
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Zip | 95436-9642
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Country | US
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Telephone | 707-824-7911
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Fax | 707-634-7413
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Provider Business Mailing Address
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Address Line | 7050 COVEY RD
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City | FORESTVILLE
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State | CA
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Zip | 95436-9642
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Country | US
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Telephone | 707-824-7911
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Fax | 707-634-7413
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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 | 60413912
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12002
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License Number State | CA
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