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General NPI Number Information
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NPI Number | 1558212365
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Entity Type | Individual
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Provider Name | MOLLY KATHLEEN DATTA OTR
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Gender | Female
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 13500 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-1456
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Country | US
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Telephone | 812-257-1431
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Fax |
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Provider Business Mailing Address
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Address Line | 4089 SUNNINGDALE WAY
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City | CARMEL
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State | IN
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Zip | 46033-6616
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 31004781A
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License Number State | IN
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