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General NPI Number Information
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NPI Number | 1194691196
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Entity Type | Individual
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Provider Name | PARKER ELIZABETH CRANDALL OTRL
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 160 HOSPITAL DR
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City | BENNINGTON
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State | VT
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Zip | 05201-2279
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Country | US
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Telephone | 802-447-1547
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Fax |
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Provider Business Mailing Address
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Address Line | 174 TACONIC LAKE RD
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City | PETERSBURG
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State | NY
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Zip | 12138-5714
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Country | US
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Telephone | 802-447-1547
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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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