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General NPI Number Information
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NPI Number | 1801709464
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Entity Type | Individual
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Provider Name | IZABELLA ANNA FRASER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1776 WASHINGTON ST
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City | WALPOLE
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State | MA
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Zip | 02081-2404
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Country | US
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Telephone | 508-208-8438
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Fax |
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Provider Business Mailing Address
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Address Line | 22 ELYSE DR
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City | NEW CITY
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State | NY
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Zip | 10956-3335
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Country | US
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Telephone | 845-800-0020
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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 | OTL36956
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License Number State | MA
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