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General NPI Number Information
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NPI Number | 1477447159
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Entity Type | Individual
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Provider Name | KATELYN EVANS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 2639 W SR 434
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City | LONGWOOD
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State | FL
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Zip | 32779-4878
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Country | US
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Telephone | 407-530-5063
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Fax |
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Provider Business Mailing Address
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Address Line | 20430 NETHERLAND ST
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City | ORLANDO
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State | FL
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Zip | 32833-4034
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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 | 26184
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License Number State | FL
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