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General NPI Number Information
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NPI Number | 1700422110
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Entity Type | Individual
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Provider Name | JANELLE ELIZABETH HALLIDAY MS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | 2887 US HIGHWAY 11
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City | WHITNEY POINT
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State | NY
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Zip | 13862-7707
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Country | US
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Telephone | 607-692-8232
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Fax |
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Provider Business Mailing Address
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Address Line | 3639 LORNE DR
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City | ENDWELL
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State | NY
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Zip | 13760-2413
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Country | US
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Telephone | 607-761-1150
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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 | 024233
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License Number State | NY
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