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General NPI Number Information
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NPI Number | 1972090496
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Entity Type | Individual
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Provider Name | CATHERINE JANE RATHBUN OT
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Gender | Female
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 218 OLD CHAPIN RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2030
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Country | US
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Telephone | 727-686-5713
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6811
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Country | US
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Telephone | 727-686-5713
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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 | 4878
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License Number State | SC
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