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General NPI Number Information
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NPI Number | 1952444101
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Entity Type | Individual
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Provider Name | AIMEE CATHERINE PETERSON OTRL
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 19114 KANAWHA DR
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City | CORNELIUS
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State | NC
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Zip | 28031-9394
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Country | US
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Telephone | 832-451-0660
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Fax | 980-206-0111
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Provider Business Mailing Address
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Address Line | 19114 KANAWHA DR
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City | CORNELIUS
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State | NC
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Zip | 28031-9394
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Country | US
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Telephone | 832-451-0660
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Fax | 980-206-0111
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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 | 102825
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3388
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License Number State | NC
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