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General NPI Number Information
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NPI Number | 1487470696
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Entity Type | Individual
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Provider Name | ERIN KELLER OTR/L, OTD
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 17 MAIN ST STE 403
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-1436
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Country | US
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Telephone | 609-686-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 92 MIRY BROOK RD
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City | HAMILTON SQUARE
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State | NJ
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Zip | 08690-1511
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Country | US
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Telephone | 609-203-5733
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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 | 46TR01199600
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License Number State | NJ
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