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General NPI Number Information
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NPI Number | 1750680161
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH COOPER OTR/L, CBIS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2011
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | CMR 402
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City | APO
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State | AE
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Zip | 09180
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Country | US
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Telephone | 01625616226
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 467 BOX 4846
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City | APO
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State | AE
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Zip | 09096-0049
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Country | US
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Telephone | 609-240-6657
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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 | 06247
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License Number State | MD
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