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General NPI Number Information
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NPI Number | 1053224188
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Entity Type | Individual
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Provider Name | ARIANA CANOSA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 501 S 54TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1900
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Country | US
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Telephone | 215-748-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 333 EARP ST APT 203
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City | PHILADELPHIA
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State | PA
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Zip | 19147-5926
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Country | US
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Telephone | 856-625-7568
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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 | OC016218
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License Number State | PA
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