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General NPI Number Information
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NPI Number | 1083180301
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Entity Type | Individual
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Provider Name | YEFIM SIMKHAYEV OT
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Gender | Male
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 1317 52ND ST
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City | BROOKLYN
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State | NY
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Zip | 11219
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Country | US
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Telephone | 718-928-9564
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Fax |
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Provider Business Mailing Address
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Address Line | 221 CROWELLS RD
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City | EDISON
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State | NJ
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Zip | 08817-4941
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Country | US
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Telephone | 917-201-8425
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | P11701
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License Number State | NY
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