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General NPI Number Information
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NPI Number | 1548702467
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Entity Type | Individual
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Provider Name | KATHARINA ROSAS
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Gender | Female
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Dates
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Enumeration Date | 11/09/2016
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 860 AIRPORT FWY STE 210
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City | HURST
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State | TX
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Zip | 76054-3249
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Country | US
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Telephone | 817-507-1500
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Fax | 817-507-0702
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Provider Business Mailing Address
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Address Line | 860 AIRPORT FWY STE 210
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City | HURST
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State | TX
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Zip | 76054-3249
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Country | US
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Telephone | 817-507-1500
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Fax | 817-507-0702
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 214288
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License Number State | TX
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