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General NPI Number Information
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NPI Number | 1518568252
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Entity Type | Organization
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Legal Business Name | BC REDESIGN LLC
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Dates
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Enumeration Date | 11/07/2020
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Last Update Date | 11/07/2020
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Provider Practice Location Address
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Address Line | 59 MERIDIAN ST
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City | GREENFIELD
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State | MA
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Zip | 01301-3808
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Country | US
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Telephone | 413-768-0563
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MOHAWK TRL # 124
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City | GREENFIELD
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State | MA
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Zip | 01301-3206
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Country | US
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Telephone | 413-768-0563
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA CRAPO
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Credential | OTR/L
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Telephone | 413-768-0563
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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 |
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License Number State |
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