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General NPI Number Information
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NPI Number | 1982093928
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Entity Type | Individual
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Provider Name | TAMMY NEAL
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 20 N PARK AVE STE 1300
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City | PLYMOUTH
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State | MA
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Zip | 02360-4090
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Country | US
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Telephone | 508-830-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 4 HAWTHORNE RD
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City | KINGSTON
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State | MA
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Zip | 02364-1322
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Country | US
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Telephone | 781-585-7150
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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 | 3548
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License Number State | MA
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