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General NPI Number Information
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NPI Number | 1225429665
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Entity Type | Individual
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Provider Name | KATIE ENTREKIN M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 315 6TH ST S
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City | ONEONTA
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State | AL
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Zip | 35121-1828
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Country | US
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Telephone | 256-504-6097
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Fax |
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Provider Business Mailing Address
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Address Line | 315 6TH ST S
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City | ONEONTA
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State | AL
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Zip | 35121-1828
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Country | US
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Telephone |
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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 | 3971
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License Number State | AL
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