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General NPI Number Information
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NPI Number | 1316681927
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Entity Type | Individual
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Provider Name | KATHERINE CARPENTER
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Gender | Female
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 11979 STARCREST DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247-4112
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Country | US
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Telephone | 512-820-8293
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Fax |
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Provider Business Mailing Address
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Address Line | 825 CLEAR STREAM XING
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City | AUSTIN
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State | TX
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Zip | 78753-7124
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Country | US
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Telephone | 713-822-1232
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 119020
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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