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General NPI Number Information
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NPI Number | 1124426077
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Entity Type | Individual
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Provider Name | LUELLA SIMAKAUSKAS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/09/2014
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 185 BOSTON RD
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City | CHELMSFORD
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State | MA
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Zip | 01824-4615
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Country | US
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Telephone | 585-469-0917
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Fax |
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Provider Business Mailing Address
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Address Line | 319 E DUNSTABLE RD
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City | NASHUA
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State | NH
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Zip | 03062-4207
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Country | US
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Telephone | 585-469-0917
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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 | OT.0004104
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License Number State | CO
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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 | 11840
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License Number State | MA
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