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General NPI Number Information
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NPI Number | 1376988550
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Entity Type | Individual
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Provider Name | REBECCA CARA SOLTAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 100 MONROE ST
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-5002
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Country | US
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Telephone | 908-565-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 29 STAMFORD DR
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City | JACKSON
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State | NJ
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Zip | 08527-4479
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Country | US
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Telephone | 732-874-1189
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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 | 46TR00612400
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License Number State | NJ
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