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General NPI Number Information
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NPI Number | 1396098331
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Entity Type | Individual
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Provider Name | DANIELLE KATHRYN ALDER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 500 SCHOOL ST
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-1508
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Country | US
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Telephone | 570-586-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 71 LINCOLN AVE
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City | WEST WYOMING
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State | PA
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Zip | 18644-1307
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Country | US
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Telephone | 570-855-4501
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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 | OC006444L
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License Number State | PA
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