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General NPI Number Information
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NPI Number | 1962380394
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Entity Type | Individual
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Provider Name | ALANA RENAE MICHENER
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2301 LUCIEN WAY STE 325
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City | MAITLAND
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State | FL
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Zip | 32751-7020
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Country | US
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Telephone | 800-774-7785
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Fax |
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Provider Business Mailing Address
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Address Line | 2537 26TH ST SW
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City | ALLENTOWN
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State | PA
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Zip | 18103-7201
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Country | US
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Telephone | 484-602-7544
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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 | OC020947
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License Number State | PA
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