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General NPI Number Information
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NPI Number | 1245869353
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Entity Type | Individual
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Provider Name | KATELYN JOYCE WESTON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 2620 W WALKER ST
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City | LEAGUE CITY
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State | TX
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Zip | 77573-6812
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Country | US
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Telephone | 281-309-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 BRIGGS BLVD NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-2169
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Country | US
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Telephone | 616-558-2887
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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 | 120750
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License Number State | TX
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