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General NPI Number Information
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NPI Number | 1306284013
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Entity Type | Individual
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Provider Name | LIZA KERSTETTER MSOTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 1901 N 5TH ST
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City | HARRISBURG
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State | PA
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Zip | 17102-1510
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Country | US
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Telephone | 717-439-2859
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Fax |
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Provider Business Mailing Address
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Address Line | 341 NELSON TER
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City | MILLERSBURG
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State | PA
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Zip | 17061-2420
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Country | US
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Telephone | 717-439-2859
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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 |
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License Number State | PA
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