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General NPI Number Information
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NPI Number | 1902549116
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Entity Type | Individual
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Provider Name | JAYME LYNNE STEPHEN MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 3 BRIDGE ST
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City | CARTHAGE
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State | NY
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Zip | 13619-1360
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Country | US
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Telephone | 315-493-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 418 N DELAWARE AVE
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City | MINERSVILLE
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State | PA
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Zip | 17954-1706
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Country | US
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Telephone | 570-640-3328
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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 | 028339
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License Number State | NY
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