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NPI 1144191123

NPI 1144191123 : LEAH SAVIERA BRIONES-COOPER : MEXICO, NY

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General NPI Number Information
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    NPI Number           |    1144191123
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    Entity Type          |    Individual 
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    Provider Name        |    LEAH SAVIERA BRIONES-COOPER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2025
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    Last Update Date     |    09/15/2025
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Provider Practice Location Address
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    Address Line         |    216 COUNTY ROUTE 64 
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    City                 |    MEXICO
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    State                |    NY
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    Zip                  |    13114-3229
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    Country              |    US
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    Telephone            |    315-963-0864
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4777 NEW HOPE S 
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    City                 |    LIVERPOOL
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    State                |    NY
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    Zip                  |    13090-2544
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    Country              |    US
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    Telephone            |    315-963-0864
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    Fax                  |    315-963-7693
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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       |    030592
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    License Number State |    NY
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