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General NPI Number Information
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NPI Number | 1053915843
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Entity Type | Individual
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Provider Name | HAILEY MYERS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 2077 S INDEPENDENCE BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-4780
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Country | US
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Telephone | 609-707-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 205 STATION AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1448
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Country | US
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Telephone |
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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 |
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License Number State |
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