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General NPI Number Information
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NPI Number | 1821919465
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Entity Type | Individual
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Provider Name | MADISON CHRISTINE MICHAK
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 833 S LEWIS RD BLDG 2
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City | ROYERSFORD
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State | PA
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Zip | 19468-2732
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Country | US
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Telephone | 610-705-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 345 WALNUT ST APT 203
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-4064
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Country | US
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Telephone | 570-899-4144
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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 | OC021205
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License Number State | PA
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