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General NPI Number Information
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NPI Number | 1548478571
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Entity Type | Individual
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Provider Name | TRACY LEE REYNOLDS OTR
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 WYOMING AVE
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City | TORRINGTON
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State | CT
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Zip | 06790-6043
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Country | US
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Telephone | 860-482-8563
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Fax | 860-489-3848
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Provider Business Mailing Address
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Address Line | 101 BELMONT DR
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City | TORRINGTON
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State | CT
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Zip | 06790-4173
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Country | US
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Telephone | 860-618-5294
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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 | 001337
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License Number State | CT
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