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General NPI Number Information
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NPI Number | 1598591026
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Entity Type | Individual
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Provider Name | MRS. MCKENNA S. REESE
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Gender | Female
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 36 GREENOUGH RD
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City | PLAISTOW
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State | NH
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Zip | 03865-2724
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Country | US
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Telephone | 603-382-6541
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SKY VIEW DR
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City | PELHAM
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State | NH
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Zip | 03076-5001
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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 | 3177
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License Number State | NH
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