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General NPI Number Information
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NPI Number | 1235694860
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Entity Type | Individual
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Provider Name | PHOEBE PERKINS MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 630 CHURCHMANS RD STE 100A
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City | NEWARK
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State | DE
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Zip | 19702-1943
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Country | US
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Telephone | 302-544-5055
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 411422
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City | BOSTON
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State | MA
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Zip | 02241-1422
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Country | US
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Telephone | 866-448-9543
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Fax | 631-580-5223
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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 | 528372
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License Number State | DE
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