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General NPI Number Information
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NPI Number | 1477674851
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Entity Type | Individual
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Provider Name | EILEEN M PULIDORE OTRL
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1205 S 28TH ST
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City | HARRISBURG
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State | PA
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Zip | 17111-1046
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Country | US
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Telephone | 717-565-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8781 WASHINGTON CIR
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-8633
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Country | US
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Telephone |
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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 | OC003979L
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License Number State | PA
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