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General NPI Number Information
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NPI Number | 1477351872
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Entity Type | Individual
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Provider Name | JENNIFER KATANOV OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 11506 ROCKAWAY BEACH BLVD
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City | FAR ROCKAWAY
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State | NY
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Zip | 11694-2346
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Country | US
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Telephone | 718-554-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 14112 78TH RD APT 1G
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City | FLUSHING
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State | NY
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Zip | 11367-3324
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Country | US
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Telephone | 718-801-1803
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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 | 029940
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License Number State | NY
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