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NPI Code Detail

MEDICARE: KAREN ANN STAUB

MEDICARE: KAREN ANN STAUB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC000989LPA

General Provider Information

NPI Number : 1760670020
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN STAUB
Provider Business Mailing Address
First Line : 2990 CARLISLE PIKE
Second Line : PO BOX 128
City : NEW OXFORD
State : PA
Zip : 17350-9582
Country : US
Telephone Number : 717-624-2161
Fax Number :
Provider Business Practice Location Address
First Line : 2990 CARLISLE PIKE
Second Line :
City : NEW OXFORD
State : PA
Zip : 17350-9582
Country : US
Telephone Number : 717-624-2161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/11/2007

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