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General NPI Number Information
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NPI Number | 1316479611
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Entity Type | Individual
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Provider Name | KATIE HUTZAYLUK OTR
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Gender | Female
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 194 N RT 31 KESSLER REHABILITATION CENTER
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City | FLEMINGTON
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-788-9035
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Fax |
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Provider Business Mailing Address
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Address Line | 27 EDGEWOOD TER
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2502
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Country | US
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Telephone | 908-240-2900
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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 | 46TR00429300
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License Number State | NJ
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