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General NPI Number Information
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NPI Number | 1164675443
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Entity Type | Individual
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Provider Name | JOANNE MARY BORTONE ED.D., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 1 SKYLINE DRIVE SUITE 298 KIDABILITIES
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City | HAWTHORNE
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State | NY
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Zip | 10532
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Country | US
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Telephone | 914-347-5990
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Fax | 914-347-5236
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Provider Business Mailing Address
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Address Line | 25 BARKER STREET UNIT 508
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City | MOUNT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-666-3634
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Fax | 914-347-5236
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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 | 001223
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License Number State | NY
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