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General NPI Number Information
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NPI Number | 1629103692
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Entity Type | Individual
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Provider Name | JENNIFER A DEGIROLOMO OTR
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 10 PROGRESS DR
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City | SHELTON
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State | CT
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Zip | 06484-6293
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Country | US
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Telephone | 475-239-5512
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PROGRESS DR STE 2B
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City | SHELTON
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State | CT
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Zip | 06484-6294
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Country | US
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Telephone | 475-239-5512
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Fax | 475-239-5513
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 002295
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License Number State | CT
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