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General NPI Number Information
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NPI Number | 1922254382
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Entity Type | Organization
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Legal Business Name | TALBAZ, INC
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 2326 MASSACHUSETTS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1813
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Country | US
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Telephone | 617-229-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 218 HOLLAND ST
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City | SOMERVILLE
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State | MA
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Zip | 02144-2432
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Country | US
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Telephone | 617-764-1997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TAL C BAZ
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Credential | OT
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Telephone | 617-669-7787
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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 | 9413
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 8805
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License Number State | MA
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