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General NPI Number Information
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NPI Number | 1891505798
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Entity Type | Individual
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Provider Name | NIA MONTEIRO
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 500 WATERFRONT DR
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-5048
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Country | US
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Telephone | 401-272-5280
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Fax |
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Provider Business Mailing Address
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Address Line | 22 DUNCAN AVE
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City | PROVIDENCE
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State | RI
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Zip | 02906-1815
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Country | US
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Telephone | 401-644-8477
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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 | OT02331
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License Number State | RI
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