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General NPI Number Information
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NPI Number | 1902398852
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Entity Type | Individual
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Provider Name | KERRI J COLBERT OTL,CHT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 1715 42ND AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-3535
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Country | US
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Telephone | 831-234-5904
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Fax | 831-480-1321
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Provider Business Mailing Address
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Address Line | 650 TABOR DR
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-2843
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Country | US
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Telephone | 831-234-5904
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Fax | 831-480-1321
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OT5535
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License Number State | CA
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