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General NPI Number Information
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NPI Number | 1871864702
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Entity Type | Individual
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Provider Name | KELLY FOLEY
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Gender | Female
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 701 LANSDALE AVE
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City | LANSDALE
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State | PA
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Zip | 19446-2958
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Country | US
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Telephone | 267-663-5423
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Fax | 215-362-2371
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Provider Business Mailing Address
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Address Line | 12034 TEMPLETON DR
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City | PHILADELPHIA
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State | PA
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Zip | 19154-2722
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Country | US
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Telephone |
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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 |
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License Number State |
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