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General NPI Number Information
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NPI Number | 1669597977
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Entity Type | Individual
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Provider Name | VICTORIA REISER OTR
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8000 TWIN SILO DR
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City | BLUE BELL
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State | PA
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Zip | 19422-4200
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Country | US
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Telephone | 215-699-8721
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Fax | 215-699-2568
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Provider Business Mailing Address
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Address Line | 2615 DEKALB PIKE APT 408
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City | EAST NORRITON
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State | PA
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Zip | 19401-1843
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Country | US
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Telephone | 610-574-8383
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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 | OC010194
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License Number State | PA
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