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General NPI Number Information
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NPI Number | 1013288455
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Entity Type | Organization
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Legal Business Name | CORA KARMI GROSS, OTR PC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 900 WALT WHITMAN RD SUITE 307
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City | MELVILLE
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State | NY
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Zip | 11747-2293
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Country | US
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Telephone | 631-549-6994
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Fax | 631-549-7203
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Provider Business Mailing Address
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Address Line | 900 WALT WHITMAN RD SUITE 307
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City | MELVILLE
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State | NY
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Zip | 11747-2293
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Country | US
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Telephone | 631-549-6994
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Fax | 631-549-7203
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. CORA KARMI GROSS
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Credential | OTR
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Telephone | 631-549-6994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 225X00000X
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License Number State | NY
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