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General NPI Number Information
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NPI Number | 1659009967
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Entity Type | Individual
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Provider Name | LISA MARIE TARCHINI MS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/13/2022
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 225 HOPMEADOW ST STE 500
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City | WEATOGUE
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State | CT
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Zip | 06089-7901
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Country | US
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Telephone | 860-470-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 73 COLONIAL CT
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City | PLAINVILLE
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State | CT
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Zip | 06062-2001
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Country | US
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Telephone | 860-989-8442
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 5984
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License Number State | CT
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