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General NPI Number Information
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NPI Number | 1568607760
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Entity Type | Individual
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Provider Name | JESSICA M FOLTIN MS, OTR
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Gender | Female
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 06/30/2019
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Provider Practice Location Address
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Address Line | 971 E LANCASTER AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-5344
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Country | US
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Telephone | 617-796-8306
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Fax |
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Provider Business Mailing Address
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Address Line | 23 QUAIL RUN LN
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City | GLENMOORE
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State | PA
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Zip | 19343-2021
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Country | US
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Telephone | 610-804-9790
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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 | OC010428
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License Number State | PA
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