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General NPI Number Information
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NPI Number | 1427203637
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Entity Type | Individual
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Provider Name | JILL R DAVIS MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 379 KLOCKS CORNERS RD
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City | OSWEGO
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State | NY
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Zip | 13126-6141
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Country | US
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Telephone | 315-561-6277
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Fax | 315-342-9599
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Provider Business Mailing Address
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Address Line | 828 COUNTY ROUTE 25
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City | OSWEGO
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State | NY
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Zip | 13126-5716
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Country | US
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Telephone | 315-561-6277
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Fax | 315-342-9599
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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 |
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License Number State | NY
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