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General NPI Number Information
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NPI Number | 1972416006
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Entity Type | Individual
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Provider Name | KAITLIN REESE GLICINI
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 32 PARKWOOD DR
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4501
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Country | US
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Telephone | 717-446-0439
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Fax |
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Provider Business Mailing Address
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Address Line | 3520 LINCOLN WAY E
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City | FAYETTEVILLE
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State | PA
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Zip | 17222-1152
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Country | US
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Telephone | 720-934-9658
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OP010817
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License Number State | PA
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