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General NPI Number Information
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NPI Number | 1518172790
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Entity Type | Individual
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Provider Name | THOMAS JOHN MALOSKEY OTR
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 1335 JOHNSON RD
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City | CHAMBERSBURG
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State | PA
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Zip | 17202-7505
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Country | US
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Telephone | 717-816-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 JOHNSON RD
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-7505
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Country | US
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Telephone | 717-860-0295
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Fax | 717-263-9799
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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 | 02602
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC002845L
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License Number State | PA
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