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General NPI Number Information
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NPI Number | 1629931555
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Entity Type | Individual
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Provider Name | JONATHAN R EDLEMAN OT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 19 W LINFIELD TRAPPE RD
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City | LIMERICK
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State | PA
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Zip | 19468-1807
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Country | US
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Telephone | 484-948-2800
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Fax | 610-792-3044
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Provider Business Mailing Address
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Address Line | 560 N ROUTE 100
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City | BECHTELSVILLE
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State | PA
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Zip | 19505-9228
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Country | US
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Telephone | 484-948-2800
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Fax | 610-792-3044
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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 | OC005146L
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License Number State | PA
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