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General NPI Number Information
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NPI Number | 1235512476
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Entity Type | Individual
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Provider Name | ERICA MELTZER OTR
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 135 COLUMBIA TPKE SUITE 302
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2104
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Country | US
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Telephone | 917-922-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 361 CLAREMONT AVE APT 10
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City | MONTCLAIR
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State | NJ
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Zip | 07042-1850
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Country | US
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Telephone | 201-919-8916
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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 | 46TR00647100
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License Number State | NJ
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