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General NPI Number Information
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NPI Number | 1568763720
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Entity Type | Individual
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Provider Name | LISA MARIE LIVINGSTON MS, OTR/L, MBA
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Gender | Female
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 98 MASONIC DR STE 101
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-2569
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Country | US
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Telephone | 717-940-3855
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Fax |
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Provider Business Mailing Address
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Address Line | 7225 ROCK RIDGE AVE
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City | HARRISBURG
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State | PA
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Zip | 17112-8106
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC011680
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License Number State | PA
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