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General NPI Number Information
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NPI Number | 1902085293
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Entity Type | Individual
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Provider Name | JANE EGAN-ERBE OTR
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 09/02/2019
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Provider Practice Location Address
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Address Line | 1200 HIGH RIDGE RD STE 3
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City | STAMFORD
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State | CT
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Zip | 06905
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Country | US
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Telephone | 917-365-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 HIGH RIDGE RD # B10
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City | STAMFORD
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State | CT
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Zip | 06905-1223
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Country | US
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Telephone | 917-365-9414
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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 | 007516-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 001950
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License Number State | CT
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