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General NPI Number Information
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NPI Number | 1992520746
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE FLEWELLING OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 4301 US HIGHWAY 1 STE 300
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-1973
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 24 CHADWICK DR
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City | VOORHEES
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State | NJ
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Zip | 08043-2971
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Country | US
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Telephone | 856-418-9506
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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 | 46TR01214000
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License Number State | NJ
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