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General NPI Number Information
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NPI Number | 1285560243
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Entity Type | Individual
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Provider Name | DIANNE VADEBONCOEUR MA, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 588 PAWTUCKET AVE
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City | PAWTUCKET
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State | RI
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Zip | 02860-6057
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Country | US
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Telephone | 401-728-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 132 DAVIS AVE
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City | CRANSTON
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State | RI
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Zip | 02910-5746
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Country | US
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Telephone | 401-533-0308
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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 | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | OTO106
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License Number State | RI
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