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General NPI Number Information
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NPI Number | 1710891080
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Entity Type | Individual
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Provider Name | ALEXA RAE HENRY
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 2141 OREGON PIKE
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City | LANCASTER
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State | PA
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Zip | 17601-4604
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Country | US
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Telephone | 185-572-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 209 COLONIAL DR
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City | SHIPPENSBURG
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State | PA
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Zip | 17257-8214
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Country | US
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Telephone | 717-805-3084
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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 | OC021785
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License Number State | PA
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