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General NPI Number Information
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NPI Number | 1568225977
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Entity Type | Individual
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Provider Name | ANDREW JOSPEH WELSH MSOT, OTR/L
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Gender | Male
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 3900 WOODLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4551
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Country | US
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Telephone | 267-971-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 516 REGIS CT APT C2
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City | BENSALEM
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State | PA
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Zip | 19020-7452
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Country | US
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Telephone | 267-971-6166
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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 | OC017246
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License Number State | PA
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