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General NPI Number Information
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NPI Number | 1962366336
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Entity Type | Individual
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Provider Name | VANESSA TAURISANO LMT
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 305 WATERMAN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-2611
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Country | US
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Telephone | 401-551-1904
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Fax | 401-434-1278
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Provider Business Mailing Address
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Address Line | 35 HOWLAND AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-3126
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Country | US
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Telephone | 602-582-5229
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Fax | 401-434-1278
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT02550
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License Number State | RI
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