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General NPI Number Information
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NPI Number | 1295986800
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Entity Type | Individual
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Provider Name | JODY ALLBAUGH OTR
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Gender | Female
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 13TH & BROOM STS
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City | WILMINGTON
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State | DE
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Zip | 19806-4227
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Country | US
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Telephone | 610-356-7355
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Fax |
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Provider Business Mailing Address
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Address Line | 106 QUAIL RIDGE LN
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City | STROUDSBURG
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State | PA
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Zip | 18360-8186
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Country | US
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Telephone | 570-992-3880
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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 | OC005073L
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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 | U1-0000414
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License Number State | DE
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