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General NPI Number Information
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NPI Number | 1881542785
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Entity Type | Individual
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Provider Name | LEAH KRISTEN VAN TRONK OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 12 SPARROW LN
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City | MANORVILLE
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State | NY
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Zip | 11949-2963
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Country | US
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Telephone | 631-627-4402
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 DRURY LN
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City | ENGLEWOOD
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State | FL
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Zip | 34224-4545
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Country | US
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Telephone | 941-474-9371
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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 | 026214
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License Number State | NY
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