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General NPI Number Information
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NPI Number | 1831597020
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Entity Type | Individual
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Provider Name | JAMIE BARLOW MA OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/20/2014
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Last Update Date | 12/20/2014
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Provider Practice Location Address
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Address Line | 50 WILSON DR
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City | SPARTA
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State | NJ
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Zip | 07871-3400
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Country | US
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Telephone | 973-579-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BIG SKY DR UNIT 4
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City | VERNON
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State | NJ
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Zip | 07462-4597
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Country | US
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Telephone | 973-459-9118
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 46TR00628100
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License Number State | NJ
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