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General NPI Number Information
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NPI Number | 1659072411
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Entity Type | Organization
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Legal Business Name | ABILITY ACTION LLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 11 BERKLEY ST
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City | MARLBOROUGH
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State | MA
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Zip | 01752-3205
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Country | US
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Telephone | 508-658-0178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 232
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City | MARLBOROUGH
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State | MA
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Zip | 01752-0232
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Country | US
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Telephone | 508-658-0178
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | REESE MORGAN HIMMER
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Credential | OT
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Telephone | 508-658-0178
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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 |
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License Number State |
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