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General NPI Number Information
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NPI Number | 1396089363
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Entity Type | Individual
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Provider Name | RACHANA R MHATRE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 606 CRANBURY RD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5422
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Country | US
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Telephone | 732-651-0604
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Fax | 505-468-3586
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Provider Business Mailing Address
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Address Line | 37 ALBURY WAY
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4202
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Country | US
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Telephone | 225-588-9828
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Fax | 505-468-3586
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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 | 46TR00534700
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License Number State | NJ
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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 | 63 016423
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License Number State | NY
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