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NPI 1730071077

NPI 1730071077 : ANSLEY JORDAN UTTER : YORK, PA

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General NPI Number Information
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    NPI Number           |    1730071077
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    Entity Type          |    Individual 
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    Provider Name        |    ANSLEY JORDAN UTTER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2025
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    1600 6TH AVE STE 103 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17403-2626
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    Country              |    US
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    Telephone            |    717-916-3264
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6 N SYCAMORE LN 
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    City                 |    STEWARTSTOWN
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    State                |    PA
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    Zip                  |    17363-4121
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    Country              |    US
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    Telephone            |    717-758-2096
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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       |    OC020798
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    License Number State |    PA
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