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General NPI Number Information
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NPI Number | 1659997740
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Entity Type | Individual
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Provider Name | PAIGE VERRASTRO
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Gender | Female
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 5535 S WILLIAMSON BLVD STE 774
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City | PORT ORANGE
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State | FL
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Zip | 32128-8321
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Country | US
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Telephone | 386-944-7202
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Fax |
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Provider Business Mailing Address
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Address Line | 4011 HOLLYWOOD BLVD UNIT 22R
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-3376
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Country | US
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Telephone |
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA-000062
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA17255
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OP008900
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 4TA09149100
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License Number State | NJ
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