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General NPI Number Information
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NPI Number | 1285043463
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Entity Type | Individual
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Provider Name | GILLIAN KRIEBEL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3 IRON BRIDGE DR
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-2042
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Country | US
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Telephone | 610-489-8506
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 2ND AVE
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City | GILBERTSVILLE
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State | PA
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Zip | 19525-9532
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Country | US
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Telephone | 484-942-9029
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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 | OC018436
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License Number State | PA
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