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General NPI Number Information
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NPI Number | 1558856070
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Entity Type | Individual
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Provider Name | JENNICE ANNE HARVISH OTR
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 669 SPRINGTOWN RD
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City | TILLSON
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State | NY
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Zip | 12486-1601
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Country | US
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Telephone | 845-837-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 669 SPRINGTOWN RD
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City | TILLSON
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State | NY
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Zip | 12486-1601
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Country | US
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Telephone | 845-837-9814
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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 |
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License Number State |
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