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General NPI Number Information
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NPI Number | 1215459474
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Entity Type | Individual
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Provider Name | JEANINA ZITO OTR
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/10/2017
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Provider Practice Location Address
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Address Line | 3100 SHORE DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-1199
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Country | US
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Telephone | 800-673-8186
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BREWSTER RD APT D
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City | GLASTONBURY
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State | CT
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Zip | 06033-1039
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Country | US
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Telephone | 860-338-3478
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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 | 00000
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License Number State | VA
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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 | 000000
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License Number State | VA
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