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General NPI Number Information
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NPI Number | 1588319883
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Entity Type | Individual
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Provider Name | TYLER GUARNIERI M.S. OTR/L
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Gender | Male
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 402 ROGERS PKWY
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City | ROCHESTER
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State | NY
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Zip | 14617-4738
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Country | US
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Telephone | 585-957-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 193 SAINT JOSEPH ST
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City | ROCHESTER
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State | NY
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Zip | 14617-2419
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Country | US
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Telephone | 315-406-6367
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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 | 026181-01
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License Number State | NY
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