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General NPI Number Information
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NPI Number | 1114219979
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Entity Type | Individual
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Provider Name | LISA A SINTON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 2 SEAPORT DR
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City | QUINCY
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State | MA
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Zip | 02171-1599
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Country | US
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Telephone | 617-769-5102
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Fax |
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Provider Business Mailing Address
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Address Line | 9 ROCKWOOD RD
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City | HINGHAM
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State | MA
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Zip | 02043-1915
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Country | US
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Telephone | 781-974-7223
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 8961
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License Number State | MA
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