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General NPI Number Information
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NPI Number | 1083973713
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Entity Type | Individual
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Provider Name | ADAM J SAMUELS OTR/L
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Gender | Male
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 265 SUNRISE HWY # 121
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4912
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Country | US
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Telephone | 516-728-7937
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Fax |
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Provider Business Mailing Address
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Address Line | 25204 60TH AVE
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City | LITTLE NECK
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State | NY
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Zip | 11362-2441
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Country | US
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Telephone |
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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 | 017311
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License Number State | NY
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