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General NPI Number Information
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NPI Number | 1063088474
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Entity Type | Individual
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Provider Name | ALYSSA ERIN HEALY OTR
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Gender | Female
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 143 CHARDONNAY DR
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City | EAST QUOGUE
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State | NY
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Zip | 11942-3829
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Country | US
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Telephone | 631-278-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 375 BAY ST UNIT 1201
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City | TAUNTON
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State | MA
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Zip | 02780-8765
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Country | US
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Telephone | 781-828-7450
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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 |
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License Number State |
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