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General NPI Number Information
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NPI Number | 1073345310
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Entity Type | Individual
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Provider Name | KARLI TANEYHILL OTR
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 240 N JAMES ST STE B2
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City | NEWPORT
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State | DE
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Zip | 19804-3172
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Country | US
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Telephone | 302-300-7818
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Fax |
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Provider Business Mailing Address
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Address Line | 135 CHESTNUT CROSSING DR APT D
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City | NEWARK
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State | DE
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Zip | 19713-2669
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Country | US
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Telephone | 302-690-9679
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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 | 10346
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License Number State | MD
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