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General NPI Number Information
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NPI Number | 1043159247
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Entity Type | Individual
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Provider Name | MICHELLE AMY GELLMAN ORT/L
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Gender |
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1346 FAYETTE ST
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City | TEANECK
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State | NJ
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Zip | 07666-2118
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Country | US
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Telephone | 917-579-5399
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Fax |
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Provider Business Mailing Address
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Address Line | 603 SUNDERLAND RD
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City | TEANECK
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State | NJ
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Zip | 07666-2033
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Country | US
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Telephone | 201-522-4296
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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 |
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License Number State |
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