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General NPI Number Information
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NPI Number | 1568770097
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Entity Type | Individual
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Provider Name | HOLLY A STUDD OTR
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Gender | Female
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 50 IROQUOIS DR
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City | SALAMANCA
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State | NY
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Zip | 14779-1361
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Country | US
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Telephone | 716-945-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ELLICOTT ST
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City | CATTARAUGUS
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State | NY
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Zip | 14719-1019
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Country | US
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Telephone | 716-252-9801
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 001901-1
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License Number State | NY
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