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General NPI Number Information
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NPI Number | 1275172587
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Entity Type | Organization
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Legal Business Name | ALL ABOUT FUNCTION LLC
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 158 ANTLER LN
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City | MONROE TWP
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State | PA
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Zip | 18657-8004
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Country | US
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Telephone | 570-690-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 158 ANTLER LN
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City | MONROE TWP
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State | PA
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Zip | 18657-8004
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Country | US
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Telephone | 570-690-0953
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. LORI ANN RADZINSKI
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Credential | OTR/L BCB-PMD CFT
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Telephone | 570-690-0953
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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 |
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License Number State |
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