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General NPI Number Information
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NPI Number | 1376443150
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Entity Type | Organization
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Legal Business Name | CLOVER PEDIATRIC THERAPY, LLC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 1272 W MAIN RD
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City | MIDDLETOWN
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State | RI
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Zip | 02842-6405
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Country | US
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Telephone | 401-280-8581
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Fax |
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Provider Business Mailing Address
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Address Line | 846 MITCHELLS LN
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5379
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Country | US
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Telephone | 401-280-8581
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | VALERIE CAVANAGH
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Credential | OTR/L
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Telephone | 401-280-8581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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