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General NPI Number Information
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NPI Number | 1891630612
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Entity Type | Individual
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Provider Name | ERIKA LYNN ANDREOLI
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1389 W MAIN ST STE 225
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City | WATERBURY
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State | CT
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Zip | 06708-3115
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Country | US
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Telephone | 203-757-1474
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Fax |
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Provider Business Mailing Address
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Address Line | 44 OSBORN RD APT D9
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City | NAUGATUCK
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State | CT
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Zip | 06770-4760
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 48.006153
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License Number State | CT
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