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General NPI Number Information
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NPI Number | 1902690373
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Entity Type | Individual
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Provider Name | DORI DEVITO
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 102 PERIMETER RD
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City | NASHUA
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State | NH
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Zip | 03063-1301
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Country | US
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Telephone | 351-235-7177
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Fax |
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Provider Business Mailing Address
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Address Line | 261 HILDRETH ST
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City | LOWELL
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State | MA
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Zip | 01850-1518
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Country | US
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Telephone | 351-235-7177
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1271973
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License Number State | MA
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