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General NPI Number Information
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NPI Number | 1912559816
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Entity Type | Individual
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Provider Name | MARISSA A ASTORINI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1 MAIN ST STE 505
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City | EATONTOWN
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State | NJ
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Zip | 07724-3903
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Country | US
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Telephone | 732-493-3100
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Fax | 732-876-4967
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Provider Business Mailing Address
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Address Line | 131 PRESCOTT PL
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City | FREEHOLD
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State | NJ
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Zip | 07728-3373
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Country | US
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Telephone | 732-915-3020
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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 | 46T008708000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 61511026
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 124240
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6381
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License Number State | SC
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