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General NPI Number Information
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NPI Number | 1023619400
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Entity Type | Organization
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Legal Business Name | CARRIE ANN MENDEZ OCCUPATIONAL THERAPIST PC
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 183 LONGVUE TER
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City | YONKERS
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State | NY
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Zip | 10710-2521
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Country | US
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Telephone | 917-353-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 183 LONGVUE TER
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City | YONKERS
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State | NY
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Zip | 10710-2521
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Country | US
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Telephone | 917-353-2825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARRIE ANN MENDEZ
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Credential |
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Telephone | 917-353-2825
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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 |
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License Number State |
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