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General NPI Number Information
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NPI Number | 1699004507
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Entity Type | Individual
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Provider Name | FAITH M PARADIS OTR
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Gender | Female
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 6 BLACKSTONE VALLEY PL SUITE 109
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City | LINCOLN
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State | RI
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Zip | 02865-1112
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Country | US
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Telephone | 401-475-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 OLD LOUISQUISSET PIKE
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City | LINCOLN
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State | RI
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Zip | 02865-4516
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Country | US
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Telephone | 401-474-0786
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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 | OT00261
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OT00261
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License Number State | RI
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