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General NPI Number Information
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NPI Number | 1245152586
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Entity Type | Individual
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Provider Name | CAROLINE JANE RICUPERO DPT
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 1625 STRAITS TPKE STE 303
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1836
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Country | US
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Telephone | 203-598-0400
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Fax | 203-598-0852
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Provider Business Mailing Address
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Address Line | 217 MASSAPEAG RD
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City | UNCASVILLE
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State | CT
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Zip | 06382-1934
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Country | US
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Telephone | 860-367-3128
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 006404
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License Number State | CT
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