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General NPI Number Information
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NPI Number | 1255452645
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Entity Type | Individual
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Provider Name | MARIA MINETTE CABANAS GODBOLE OTR CHT
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 4255 ROUTE 9 N BLD 5, STE A
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City | FREEHOLD
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State | NJ
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Zip | 07728-8305
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Country | US
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Telephone | 732-727-7333
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Fax | 732-727-7333
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Provider Business Mailing Address
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Address Line | 1447 ROUTE 18 STE 3
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3797
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Country | US
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Telephone | 732-727-7333
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Fax | 732-908-1026
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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 | 46TR00203900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 9711000541
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License Number State | NJ
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