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General NPI Number Information
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NPI Number | 1376024059
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Entity Type | Individual
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Provider Name | ANNE GRAIKOSKI
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 1261 S MAIN ST
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City | PLANTSVILLE
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State | CT
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Zip | 06479-1750
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Country | US
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Telephone | 860-628-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 S MAIN ST
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City | PLANTSVILLE
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State | CT
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Zip | 06479-1750
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Country | US
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Telephone | 860-628-9000
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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 | 48.005288
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License Number State | CT
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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 | 12854
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License Number State | MA
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