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General NPI Number Information
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NPI Number | 1215159983
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Entity Type | Individual
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Provider Name | KRISTIN M STAGLIANO-RAPALLO M.S, OTL
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 981 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-1913
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Country | US
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Telephone | 978-454-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 5 RURAL AVE
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City | BILLERICA
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State | MA
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Zip | 01821-5255
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Country | US
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Telephone | 978-804-1365
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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 | 6115
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License Number State | MA
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