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General NPI Number Information
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NPI Number | 1831352541
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Entity Type | Individual
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Provider Name | GERALD JAMES PUCCIORETTI
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Gender | Male
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 11 MCGRATH HWY QUINCY REHAB
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-479-2820
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Fax | 617-773-8437
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Provider Business Mailing Address
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Address Line | 11 MCGRATH HWY QUINCY REHAB
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-479-2820
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Fax | 617-773-8437
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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 | AH2142OA
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License Number State | MA
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