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General NPI Number Information
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NPI Number | 1376459693
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Entity Type | Individual
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Provider Name | GRACE BARBAGALLO
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 3585 VOGEL RD
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City | ARNOLD
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State | MO
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Zip | 63010-3793
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Country | US
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Telephone | 636-282-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 3311 WATSON RD
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City | FESTUS
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State | MO
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Zip | 63028-3543
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Country | US
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Telephone | 636-524-5857
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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 | 2022003497
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License Number State | MO
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