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General NPI Number Information
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NPI Number | 1134896913
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Entity Type | Individual
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Provider Name | JANINE LUSKY
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 98 E 4TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-9001
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Country | US
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Telephone | 646-230-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 12TH ST APT 6A
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City | NEW YORK
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State | NY
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Zip | 10014-1965
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Country | US
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Telephone | 305-528-2822
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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 | 025911
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License Number State | NY
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