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General NPI Number Information
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NPI Number | 1891919031
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Entity Type | Individual
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Provider Name | HEATHER EDGAR BELAND OT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 3325 RTE 35
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City | HAZLET
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State | NJ
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Zip | 07730-1552
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Country | US
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Telephone | 917-584-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 2 INDIAN CREEK RD
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City | HOLMDEL
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State | NJ
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Zip | 07733-1208
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Country | US
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Telephone | 201-338-2222
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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 | 012179-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | TR00505100
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License Number State | NJ
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