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General NPI Number Information
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NPI Number | 1831836022
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Entity Type | Individual
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Provider Name | MICAELA GALLEY MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 05/18/2022
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Provider Practice Location Address
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Address Line | 431 WASHINGTON ST
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City | NEWTON
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State | MA
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Zip | 02458-1537
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Country | US
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Telephone | 617-663-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 60 KENRICK ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3805
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Country | US
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Telephone | 508-505-5083
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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 | 14108
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License Number State | MA
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