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General NPI Number Information
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NPI Number | 1710102488
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Entity Type | Individual
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Provider Name | MARY KATHERINE VOLPONE OTR
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 BYBERRY RD
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3012
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Country | US
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Telephone | 215-962-4936
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Fax |
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Provider Business Mailing Address
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Address Line | 171 SHIRE DR
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City | NEW HOPE
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State | PA
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Zip | 18938-1064
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Country | US
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Telephone |
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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 | OC009274
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License Number State | PA
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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 | 46TR00356700
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License Number State | NJ
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