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General NPI Number Information
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NPI Number | 1528804481
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Entity Type | Individual
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Provider Name | BROOKE BELANGER M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/01/2024
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 29 SMITH AVE STE 2
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City | GREENVILLE
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State | RI
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Zip | 02828-1726
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Country | US
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Telephone | 401-592-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 725 SPRING LAKE RD
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City | GLENDALE
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State | RI
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Zip | 02826-1623
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Country | US
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Telephone | 401-568-4805
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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 | OT02195
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License Number State | RI
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