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General NPI Number Information
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NPI Number | 1134750672
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Entity Type | Individual
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Provider Name | ASHWINI K RAO
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Gender | Male
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 617 W 168TH ST RM 314
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City | NEW YORK
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State | NY
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Zip | 10032-3925
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Country | US
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Telephone | 212-305-1647
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Fax |
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Provider Business Mailing Address
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Address Line | 3436 80TH ST APT 42
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-2733
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Country | US
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Telephone | 917-279-4923
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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 | 005634-01
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License Number State | NY
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