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General NPI Number Information
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NPI Number | 1164078523
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Entity Type | Organization
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Legal Business Name | DIRECT HOME PHYSICAL THERAPY & OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 93 4TH AVE # 1421
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City | NEW YORK
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State | NY
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Zip | 10003-5213
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Country | US
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Telephone | 212-301-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 93 4TH AVE # 1421
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City | NEW YORK
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State | NY
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Zip | 10003-5213
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Country | US
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Telephone |
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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 | ALYSON DUMSA
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Credential |
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Telephone | 412-337-8064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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