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General NPI Number Information
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NPI Number | 1346765310
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Entity Type | Individual
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Provider Name | KAVITA PATEL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1836 SANTA FE DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-6422
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Country | US
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Telephone | 817-341-7611
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Fax | 817-292-0572
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Provider Business Mailing Address
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Address Line | 1063 MCGAW AVE
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City | IRVINE
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State | CA
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Zip | 92614-5505
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Country | US
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Telephone | 714-834-1111
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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 | 25159
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 118434
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License Number State | TX
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