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General NPI Number Information
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NPI Number | 1184897589
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Entity Type | Individual
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Provider Name | KARISSA MCHUGH NULL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 03/22/2019
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Provider Practice Location Address
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Address Line | 812 PHILADELPHIA PIKE
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City | WILMINGTON
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State | DE
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Zip | 19809-2372
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Country | US
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Telephone | 302-543-5463
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Fax |
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Provider Business Mailing Address
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Address Line | 4 WINDING LN
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City | CLAYMONT
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State | DE
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Zip | 19703-2457
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Country | US
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Telephone | 609-731-8663
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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 | U1-0001681
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC010594
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License Number State | PA
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Taxonomy #3
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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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