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General NPI Number Information
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NPI Number | 1225620958
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Entity Type | Individual
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Provider Name | CASEY FEHON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 156 STATE ROUTE 15
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City | LAFAYETTE
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State | NJ
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Zip | 07848-2607
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Country | US
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Telephone | 973-862-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 10 BIRCH DR
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City | NEWTON
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State | NJ
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Zip | 07860-2502
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Country | US
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Telephone | 518-928-4616
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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 | 46TR00925100
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License Number State | NJ
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