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General NPI Number Information
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NPI Number | 1245707041
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Entity Type | Individual
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Provider Name | HALEY GEORGE DROT
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 511 W CHESTER PIKE
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City | HAVERTOWN
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State | PA
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Zip | 19083-4524
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Country | US
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Telephone | 717-413-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 19 W LANCASTER AVE APT A
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City | ARDMORE
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State | PA
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Zip | 19003-1442
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Country | US
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Telephone |
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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 | OC015835
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License Number State | PA
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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 | OC015835
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License Number State | PA
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