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General NPI Number Information
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NPI Number | 1518627694
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Entity Type | Individual
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Provider Name | NICHOLE VARNEY OTR
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Gender | Female
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 99 E STATE ST
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City | GLOVERSVILLE
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State | NY
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Zip | 12078-1203
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Country | US
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Telephone | 518-775-4335
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Fax |
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Provider Business Mailing Address
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Address Line | 522 DRIFTING RDG
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City | FORT EDWARD
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State | NY
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Zip | 12828-3426
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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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 |
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License Number State |
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