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General NPI Number Information
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NPI Number | 1124454798
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Entity Type | Organization
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Legal Business Name | JOHN CODY OCCUPATIONAL THERAPY SERVICES, P.C.
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 50 ATLANTIC AVE
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City | EAST ISLIP
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State | NY
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Zip | 11730-1401
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Country | US
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Telephone | 347-452-4315
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ATLANTIC AVE
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City | EAST ISLIP
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State | NY
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Zip | 11730-1401
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Country | US
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Telephone | 347-452-4315
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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 | MR. JOHN CODY
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Credential | MS, OTR/L
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Telephone | 347-452-4315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 016964-1
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License Number State | NY
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