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General NPI Number Information
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NPI Number | 1356492870
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Entity Type | Individual
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Provider Name | JOSEPH P KELLY OTRLCHT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3411 SILVERSIDE RD CONCORD PLAZA SPRINGER BUILDING SUITE 105
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City | WILMINGTON
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State | DE
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Zip | 19810-4812
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Country | US
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Telephone | 302-478-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 800 COTREL LN
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City | COATESVILLE
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State | PA
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Zip | 19320-6604
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Country | US
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Telephone | 484-643-8595
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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 | U1-0000408
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | OC002208L
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License Number State | PA
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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 | U1-0000408
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License Number State | DE
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