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General NPI Number Information
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NPI Number | 1043536329
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Entity Type | Organization
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Legal Business Name | ENABLING THERAPY
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 4355 KISSENA BLVD 1B
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City | FLUSHING
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State | NY
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Zip | 11355-3185
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Country | US
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Telephone | 646-369-8005
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Fax | 718-269-9558
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Provider Business Mailing Address
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Address Line | 4355 KISSENA BLVD 1B
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City | FLUSHING
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State | NY
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Zip | 11355-3185
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Country | US
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Telephone | 646-369-8005
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Fax | 718-269-9558
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MISS AMY LIU
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Credential | OTR/L, CLT, CHT
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Telephone | 646-369-8005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 0138551
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License Number State | NY
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