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General NPI Number Information
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NPI Number | 1902556186
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Entity Type | Individual
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Provider Name | ABAGAIL PISANO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 17990 W LAKE HOUSTON PKWY
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City | ATASCOCITA
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State | TX
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Zip | 77346-5195
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Country | US
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Telephone | 281-612-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 3533 JOSEPH DR
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City | ERIE
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State | PA
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Zip | 16506-6033
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Country | US
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Telephone | 440-645-9045
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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 |
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License Number State |
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