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General NPI Number Information
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NPI Number | 1508416082
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Entity Type | Individual
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Provider Name | KATHERINE WHITMER GONZALES OTR
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2700 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5899
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Country | US
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Telephone | 682-242-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 9646 ESCONDIDO LN
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City | COLLEGE STATION
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State | TX
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Zip | 77845-3038
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Country | US
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Telephone | 903-987-1125
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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 | 118973
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License Number State | TX
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