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General NPI Number Information
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NPI Number | 1053629980
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Entity Type | Organization
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Legal Business Name | COOPERS KIDS OCCUPATIONAL AND PHYSICAL THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 276 5TH AVE SUITE 500
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 212-517-2777
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Fax | 212-517-6315
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Provider Business Mailing Address
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Address Line | 276 5TH AVE SUITE 500
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 212-517-2777
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Fax | 212-517-6315
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. SUSAN FOLEY
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Credential | OTR/L
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Telephone | 212-517-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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