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General NPI Number Information
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NPI Number | 1730745639
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Entity Type | Individual
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Provider Name | KATHERINE ANNE CARBAJO MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 3101 PLUMAS ST
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City | RENO
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State | NV
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Zip | 89509-4515
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Country | US
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Telephone | 775-433-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 943 BRAHMS CT
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City | TROY
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State | MI
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Zip | 48085-4894
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Country | US
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Telephone | 248-961-9890
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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 |
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License Number State |
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