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General NPI Number Information
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NPI Number | 1720959570
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Entity Type | Individual
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Provider Name | ALEXANDRA DEAL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 610 FREEDOM BUSINESS CTR DR STE 100
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1329
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Country | US
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Telephone | 484-224-7913
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Fax |
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Provider Business Mailing Address
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Address Line | 44 CORSON RD
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2133
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Country | US
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Telephone | 215-692-3784
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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 | OC015273
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License Number State | PA
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