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General NPI Number Information
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NPI Number | 1104615350
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Entity Type | Individual
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Provider Name | ELIZABETH C WOOSTER OTR/L
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Gender |
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 55 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7337
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Country | US
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Telephone | 973-971-4452
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Fax |
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Provider Business Mailing Address
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Address Line | 54 MADISON ST APT A
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City | MORRISTOWN
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State | NJ
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Zip | 07960-9594
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Country | US
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Telephone | 973-580-7532
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 46TR01073500
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License Number State | NJ
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