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General NPI Number Information
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NPI Number | 1467591545
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Entity Type | Individual
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Provider Name | BRAD JOSEPH DUKEHART O.T
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 112 N 7TH ST CHAMBERSBURG HOSPITAL- PHYSICAL MEDICINE DEPARTMENT
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1720
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Country | US
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Telephone | 717-765-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 119 LINDEN AVE
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City | MERCERSBURG
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State | PA
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Zip | 17236-1406
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Country | US
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Telephone | 717-328-5850
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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 | OC005402L
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License Number State | PA
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