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General NPI Number Information
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NPI Number | 1356936892
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Entity Type | Individual
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Provider Name | KATHERINE LUCIA GAULKE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/06/2021
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 533 E CALUMET ST
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City | CHILTON
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State | WI
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Zip | 53014-1649
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Country | US
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Telephone | 920-204-7093
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Fax |
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Provider Business Mailing Address
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Address Line | W6017 ELLA LN
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City | PLYMOUTH
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State | WI
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Zip | 53073-4067
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Country | US
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Telephone | 920-251-9382
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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 | 3136
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License Number State | NH
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