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General NPI Number Information
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NPI Number | 1548565500
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Entity Type | Individual
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Provider Name | ALYSSA BOUWENS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 72 LINWOOD DR
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City | LINCOLN
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State | NH
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Zip | 03251-4441
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Country | US
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Telephone | 603-745-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 566 BLAKE HILL RD
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City | NEW HAMPTON
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State | NH
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Zip | 03256-4423
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Country | US
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Telephone |
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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 |
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License Number State |
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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 | 2142
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License Number State | NH
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