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General NPI Number Information
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NPI Number | 1366774440
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Entity Type | Individual
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Provider Name | CATHERINE M SUMINSKI M.S. OTR
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Gender | Female
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | W238N1690 ROCKWOOD DR STE 500
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City | WAUKESHA
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State | WI
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Zip | 53188-1151
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Country | US
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Telephone | 262-347-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 4343 S 112TH ST
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City | GREENFIELD
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State | WI
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Zip | 53228-2518
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Country | US
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Telephone |
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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 | 4710026
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License Number State | WI
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