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General NPI Number Information
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NPI Number | 1255200689
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Entity Type | Individual
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Provider Name | CARMEN TERESA MARTIN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 26 EXETER ST
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City | BOSTON
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State | MA
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Zip | 02116-2711
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Country | US
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Telephone | 617-226-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 41 W 2ND ST APT 2
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City | BOSTON
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State | MA
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Zip | 02127-1170
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Country | US
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Telephone | 203-807-0720
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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 | 15115
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License Number State | MA
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