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General NPI Number Information
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NPI Number | 1972413995
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Entity Type | Individual
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Provider Name | DEBORA GOLDBERG
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 308 E LANCASTER AVE STE 315
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City | WYNNEWOOD
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State | PA
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Zip | 19096-2150
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Country | US
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Telephone | 856-426-2378
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 LARK LN
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3215
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Country | US
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Telephone | 856-426-2378
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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 | OC021601
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License Number State | PA
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