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General NPI Number Information
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NPI Number | 1417814278
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Entity Type | Individual
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Provider Name | JASMINE ANNE REIS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 45 SOCKANOSSET CROSS RD STE 100
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City | CRANSTON
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State | RI
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Zip | 02920-5529
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Country | US
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Telephone | 401-409-2608
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Fax |
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Provider Business Mailing Address
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Address Line | 940 QUAKER LN APT 313
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City | EAST GREENWICH
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State | RI
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Zip | 02818-5008
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Country | US
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Telephone | 401-612-6100
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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 | OT02423
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License Number State | RI
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