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General NPI Number Information
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NPI Number | 1114227667
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Entity Type | Organization
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Legal Business Name | MALINDA K DUNN AGENCY
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 41 W 86TH ST #6H
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City | NEW YORK
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State | NY
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Zip | 10024-3608
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Country | US
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Telephone | 917-715-5012
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Fax |
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Provider Business Mailing Address
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Address Line | 41 W 86TH ST #6H
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City | NEW YORK
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State | NY
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Zip | 10024-3608
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Country | US
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Telephone | 917-715-5012
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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 | MS. MALINDA KATHRYN DUNN
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Credential | MS
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Telephone | 917-715-5012
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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 | 002394-1
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License Number State | NY
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