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General NPI Number Information
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NPI Number | 1124611389
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Entity Type | Organization
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Legal Business Name | ALL.ACCESS.
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 458 FOREST ACRES RD
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City | NEW LONDON
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State | NH
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Zip | 03257-6027
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Country | US
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Telephone | 603-715-6227
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Fax |
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Provider Business Mailing Address
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Address Line | 458 FOREST ACRES RD
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City | NEW LONDON
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State | NH
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Zip | 03257-6027
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Country | US
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Telephone | 603-715-6227
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Fax |
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Authorized Official
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Title or Position | MEMBER/OTR/L
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Name | MELINDA LARO
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Credential | OTD
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Telephone | 603-715-6227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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