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General NPI Number Information
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NPI Number | 1609141175
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Entity Type | Individual
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Provider Name | JANICE ANNETTE CRAFT OTR
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Gender | Female
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Dates
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Enumeration Date | 03/17/2012
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Last Update Date | 03/17/2012
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Provider Practice Location Address
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Address Line | 210 W SHERMAN ST
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City | LIVINGSTON
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State | TX
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Zip | 77351-2833
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Country | US
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Telephone | 717-829-3024
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Fax |
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Provider Business Mailing Address
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Address Line | 210 W SHERMAN ST
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City | LIVINGSTON
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State | TX
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Zip | 77351-2833
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Country | US
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Telephone | 717-829-3024
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OC001015L
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License Number State | PA
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