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General NPI Number Information
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NPI Number | 1730992363
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Entity Type | Individual
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Provider Name | JORDYN MCKENNA HAMILTON
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 63 W CHURCH ST
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City | STEVENS
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State | PA
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Zip | 17578-9203
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Country | US
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Telephone | 717-721-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 2381 OAKWOOD HILLS DR APT 319
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City | MECHANICSBURG
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State | PA
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Zip | 17055-5955
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Country | US
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Telephone | 970-999-2781
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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 | OC020604
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License Number State | PA
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