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General NPI Number Information
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NPI Number | 1033151253
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Entity Type | Organization
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Legal Business Name | DEBRA RASANSKY, RPT
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 BALA PLAZA SUITE IL-47
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-668-1048
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Fax | 610-668-9539
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Provider Business Mailing Address
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Address Line | 2 BALA PLAZA SUITE IL-47
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City | BALA CYNWYD
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State | PA
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Zip | 19004
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Country | US
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Telephone | 610-668-1048
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Fax | 610-668-9539
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. HEATHER M BURTON
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Credential |
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Telephone | 610-668-1048
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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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