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General NPI Number Information
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NPI Number | 1063820298
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Entity Type | Organization
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Legal Business Name | UBP OCCUPATIONAL THERAPY SERVICE PC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 1333 E ST
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City | ELMONT
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State | NY
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Zip | 11003-3826
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Country | US
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Telephone | 516-830-0162
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 E ST
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City | ELMONT
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State | NY
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Zip | 11003-3826
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Country | US
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Telephone | 516-830-0162
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | UNICA PARRY BISHOP
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Credential | OTR/L
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Telephone | 516-830-0162
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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 | 004413-1
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License Number State | NY
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