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General NPI Number Information
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NPI Number | 1184383127
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Entity Type | Individual
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Provider Name | TAYLOR K HARVEY MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 2 BALA PLAZA SUITE 300
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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 | 484-235-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MILL POND DR
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City | CREAM RIDGE
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State | NJ
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Zip | 08514-1312
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Country | US
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Telephone | 609-468-7441
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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 | OC016088
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License Number State | PA
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