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General NPI Number Information
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NPI Number | 1093345225
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Entity Type | Individual
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Provider Name | BRENNA MAEVE DRISCOLL OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 455 POST RD STE 202
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City | DARIEN
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State | CT
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Zip | 06820-3614
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Country | US
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Telephone | 203-424-2584
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Fax | 203-255-1173
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Provider Business Mailing Address
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Address Line | 103 PAUGUSETT CIR
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City | TRUMBULL
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State | CT
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Zip | 06611-4575
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Country | US
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Telephone | 508-364-4399
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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 | 5343
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 13427
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License Number State | MA
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