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General NPI Number Information
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NPI Number | 1801400841
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Entity Type | Individual
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Provider Name | REBECCA METZELAAR
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 918 CHURCH ST
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City | HONESDALE
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State | PA
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Zip | 18431-1953
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Country | US
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Telephone | 570-616-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 135 LAUREL HILL EST
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City | HONESDALE
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State | PA
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Zip | 18431-1190
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Country | US
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Telephone | 570-499-0945
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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 | OC017057
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License Number State | PA
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