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General NPI Number Information
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NPI Number | 1508040080
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Entity Type | Individual
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Provider Name | DIANA E CATES OTR
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Gender | Female
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 1102 E CENTENNIAL DR
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City | PITTSBURG
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State | KS
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Zip | 66762-6643
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Country | US
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Telephone | 620-232-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 N ARLENE DR
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City | JOPLIN
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State | MO
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Zip | 64801-7646
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Country | US
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Telephone | 417-781-7339
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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 | 1701574
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License Number State | KS
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