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General NPI Number Information
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NPI Number | 1912427865
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Entity Type | Individual
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Provider Name | KARLIN ARIELLE GOOCH OTR
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 3780 N GARFIELD AVE STE 102
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City | LOVELAND
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State | CO
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Zip | 80538-2237
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Country | US
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Telephone | 480-621-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 1117 REMINGTON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3735
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Country | US
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Telephone | 480-621-0522
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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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