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General NPI Number Information
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NPI Number | 1659913986
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Entity Type | Individual
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Provider Name | ROSANNA M CASAVECCHIA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 384 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-2010
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Country | US
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Telephone | 781-871-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 32 CASTLE DR
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City | GROTON
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State | MA
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Zip | 01450-4214
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Country | US
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Telephone | 978-621-5944
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 6112
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License Number State | MA
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