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General NPI Number Information
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NPI Number | 1992061261
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Entity Type | Individual
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Provider Name | SAMANTHA ANNE KRONGOLD BLA, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 141 S MAIN ST
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City | MANVILLE
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State | NJ
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Zip | 08835-1803
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Country | US
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Telephone | 908-725-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 65 RAINBOW HILL RD
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City | FLEMINGTON
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State | NJ
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Zip | 08822-3905
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Country | US
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Telephone | 908-371-1157
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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 | 46TR00350900
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License Number State | NJ
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