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General NPI Number Information
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NPI Number | 1376487538
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Entity Type | Individual
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Provider Name | NICOLE V STRUBLE MSOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 142 TOTOWA RD
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City | TOTOWA
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State | NJ
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Zip | 07512-2745
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Country | US
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Telephone | 973-862-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 3 TIMBERVIEW DR
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City | SUSSEX
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State | NJ
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Zip | 07461-4416
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Country | US
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Telephone | 973-222-1941
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 46TR01290800
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License Number State | NJ
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