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General NPI Number Information
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NPI Number | 1295075273
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Entity Type | Individual
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Provider Name | JESSE CATES MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 74 BRIDGE STREET OTA THE KOOMAR CENTER, FLOOR 2
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City | NEWTON
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State | MA
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Zip | 02458
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Country | US
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Telephone | 617-969-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 38 CHESTER AVE
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City | WALTHAM
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State | MA
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Zip | 02453-3918
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Country | US
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Telephone | 310-968-2780
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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 | 294675
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License Number State | MA
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