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General NPI Number Information
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NPI Number | 1528796877
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Entity Type | Individual
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Provider Name | JESSICA LYNN ENGLE OTD, OTR/L, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 210 ANTHONI AVE STE 2
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City | WHEELING
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State | WV
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Zip | 26003-6403
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Country | US
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Telephone | 304-243-8310
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Fax | 304-243-8430
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Provider Business Mailing Address
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Address Line | 2660 LAFAYETTE BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-1145
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT007372
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License Number State | PA
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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 | OT012082
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License Number State | OH
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