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General NPI Number Information
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NPI Number | 1427201201
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Entity Type | Individual
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Provider Name | DANIELLE ELIZABETH WERTMAN MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 1505 WINDSOR LN
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City | BREWSTER
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State | NY
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Zip | 10509-6546
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Country | US
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Telephone | 914-441-8465
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Fax | 845-207-9319
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Provider Business Mailing Address
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Address Line | 1505 WINDSOR LN
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City | BREWSTER
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State | NY
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Zip | 10509-6546
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Country | US
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Telephone | 914-441-8465
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Fax | 845-207-9319
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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 | OT-011761-01
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License Number State | NY
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