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General NPI Number Information
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NPI Number | 1376883181
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Entity Type | Individual
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Provider Name | GABRIELLA MARIA PRESTON OT
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Gender | Female
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 1270 BELMONT AVE
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City | SCHENECTADY
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State | NY
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Zip | 12308-2104
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Country | US
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Telephone | 518-382-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 8 DOROTHY LN
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City | GLENVILLE
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State | NY
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Zip | 12302-5633
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Country | US
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Telephone | 518-331-2101
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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 | 003956
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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 | 020276
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License Number State | NY
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