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General NPI Number Information
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NPI Number | 1023221066
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Entity Type | Individual
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Provider Name | ELIZABETH ANN THOMPSON OTR
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 51-55 ROUTE 9W
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City | WEST HAVERSTRAW
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State | NY
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Zip | 10993
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Country | US
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Telephone | 845-786-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HIGHWOOD RD
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City | RAMSEY
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State | NJ
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Zip | 07446-2712
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Country | US
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Telephone | 201-236-9071
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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 | 005536-1
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License Number State | NY
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