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NPI 1689973307

NPI 1689973307 : APRIL M NOLAN OTR : MARCELLUS, NY

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General NPI Number Information
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    NPI Number           |    1689973307
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL M NOLAN OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2011
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    Last Update Date     |    03/25/2013
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Provider Practice Location Address
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    Address Line         |    3034 FALLS RD 
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    City                 |    MARCELLUS
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    State                |    NY
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    Zip                  |    13108-9780
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    Country              |    US
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    Telephone            |    315-415-7927
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3034 FALLS RD 
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    City                 |    MARCELLUS
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    State                |    NY
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    Zip                  |    13108-9780
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    Country              |    US
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    Telephone            |    315-415-7927
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    003561-1
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    License Number State |    NY
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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       |    003561
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    License Number State |    NY
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