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General NPI Number Information
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NPI Number | 1639669526
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Entity Type | Individual
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Provider Name | VICTORIA LEVIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 135 GOLD STAR BLVD
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City | WORCESTER
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State | MA
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Zip | 01606-2738
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Country | US
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Telephone | 844-543-8437
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Fax |
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Provider Business Mailing Address
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Address Line | 7 KINNICUTT RD
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City | WORCESTER
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State | MA
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Zip | 01602-1528
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Country | US
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Telephone | 339-933-2132
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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 | 022336
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License Number State | NY
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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 | OTL12694
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License Number State | MA
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