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General NPI Number Information
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NPI Number | 1417461146
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Entity Type | Individual
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Provider Name | DAWN VANDEVEEGAETE OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 843 WILBUR AVE
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-3453
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Country | US
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Telephone | 908-454-2627
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Fax |
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Provider Business Mailing Address
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Address Line | 1054 HARMONY STATION RD
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-9579
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Country | US
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Telephone | 908-627-5975
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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 | 46TR00754400
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License Number State | NJ
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