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General NPI Number Information
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NPI Number | 1083555874
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Entity Type | Individual
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Provider Name | RAMAKRISHNA ANANTH OTRL
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Gender | Male
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 14 LAMPLIGHTER DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-5450
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Country | US
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Telephone | 774-232-6251
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Fax |
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Provider Business Mailing Address
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Address Line | 14 LAMPLIGHTER DR
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City | SHREWSBURY
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State | MA
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Zip | 01545-5450
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Country | US
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Telephone | 774-232-6251
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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 | OTL1502
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License Number State | MA
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