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General NPI Number Information
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NPI Number | 1437882503
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Entity Type | Individual
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Provider Name | ALYSSA MERRILL VAN WAGONER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 3186 S 2550 W
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City | SYRACUSE
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State | UT
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Zip | 84075-4911
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Country | US
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Telephone | 435-890-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 3186 S 2550 W
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City | SYRACUSE
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State | UT
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Zip | 84075-4911
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Country | US
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Telephone | 435-890-0560
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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 | 12872355-4201
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License Number State | UT
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