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General NPI Number Information
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NPI Number | 1356085708
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Entity Type | Individual
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Provider Name | JUSTIN VANOYEN OTR/L
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Gender | Male
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 1051 W SHERMAN AVE SUITE 1A
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City | VINELAND
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State | NJ
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Zip | 08360
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Country | US
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Telephone | 856-696-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 468 COLLEGE BLVD
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City | WENONAH
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State | NJ
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Zip | 08090-1115
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Country | US
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Telephone | 609-970-3574
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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 | 46TR01038900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 46TR01038900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 46TR01038900
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License Number State | NJ
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