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General NPI Number Information
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NPI Number | 1770987232
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Entity Type | Individual
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Provider Name | NICOLE MOLESPHINI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 3515 DELANEY DR
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City | MELBOURNE
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State | FL
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Zip | 32934-8312
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Country | US
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Telephone | 609-540-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 GRAND AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-4510
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Country | US
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Telephone | 609-540-0461
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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 | OT23976
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC013551
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License Number State | PA
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