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General NPI Number Information
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NPI Number | 1720972763
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Entity Type | Individual
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Provider Name | ARIANNA SAIGE BLOSE
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 4300 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5317
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Country | US
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Telephone | 717-216-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 W COVENTRY LN
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City | ENOLA
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State | PA
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Zip | 17025-1277
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Country | US
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Telephone | 717-798-7737
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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 | OC020403
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License Number State | PA
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