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General NPI Number Information
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NPI Number | 1003015934
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Entity Type | Individual
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Provider Name | ALISON DUNLAP LOVEJOY COTA/L
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 268C MAMMOTH RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-3003
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Country | US
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Telephone | 603-432-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 17 OLDE COUNTRY VILLAGE RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-3822
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Country | US
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Telephone | 603-432-3485
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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 | 0444
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License Number State | NH
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