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General NPI Number Information
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NPI Number | 1730659590
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Entity Type | Individual
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Provider Name | ERIN MEANIX ROSS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 2660 RALEIGH DR
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City | YORK
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State | PA
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Zip | 17402-3915
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Country | US
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Telephone | 484-947-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 316 AMANDA CT
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City | MARIETTA
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State | PA
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Zip | 17547-9216
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Country | US
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Telephone | 484-947-8644
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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 | OC013717
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License Number State | PA
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