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General NPI Number Information
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NPI Number | 1265923254
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Entity Type | Individual
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Provider Name | ELIZABETH PLUMMER JOYCE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 101 ALLEGHENY ST STE 2C
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-1874
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Country | US
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Telephone | 814-317-9984
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Fax |
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Provider Business Mailing Address
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Address Line | 592 JUSTIN ST
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-9110
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Country | US
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Telephone | 814-931-9979
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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 | OC012717
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License Number State | PA
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