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General NPI Number Information
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NPI Number | 1134756919
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Entity Type | Individual
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Provider Name | CATHERINE SWANSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 10781 E CHERRY BEND RD # STUDIO8A
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-5249
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Country | US
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Telephone | 616-460-4360
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Fax |
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Provider Business Mailing Address
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Address Line | 8940 GLOVERS LAKE RD
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City | BEAR LAKE
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State | MI
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Zip | 49614-9622
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Country | US
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Telephone | 734-846-1177
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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 | 5201010871
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License Number State | MI
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