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General NPI Number Information
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NPI Number | 1043464001
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Entity Type | Individual
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Provider Name | ELISA FELD OTR
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Gender | Female
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | MILESTONES FOR MUNCHKINS 21 GRIFFIN LANE
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533
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Country | US
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Telephone | 914-419-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 439 E 88TH ST
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City | NEW YORK
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State | NY
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Zip | 10128-6621
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Country | US
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Telephone | 917-734-7633
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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 | 011008-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 011008-1
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License Number State | NY
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