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General NPI Number Information
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NPI Number | 1598712408
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Entity Type | Individual
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Provider Name | ADRIANA LYNN KOSITS-DEMARCO OT
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 1651 53 PULASKI HWY
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City | BEAR
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State | DE
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Zip | 19701-1453
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Country | US
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Telephone | 302-834-1550
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Fax | 302-834-1549
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Provider Business Mailing Address
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Address Line | 2 W 10TH ST
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City | MARCUS HOOK
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State | PA
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Zip | 19061-4513
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Country | US
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Telephone | 610-859-8850
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Fax | 610-859-7876
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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 | U10000809
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC008864
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License Number State | PA
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