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General NPI Number Information
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NPI Number | 1184998569
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Entity Type | Organization
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Legal Business Name | #1 PERFECT CHOICE INC.
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/03/2012
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Provider Practice Location Address
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Address Line | 16 JASON CT
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City | STATEN ISLAND
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State | NY
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Zip | 10306-6072
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Country | US
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Telephone | 917-742-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 16 JASON CT
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City | STATEN ISLAND
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State | NY
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Zip | 10306-6072
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Country | US
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Telephone | 917-742-8111
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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 | MRS. IRINA MILMAN
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Credential | OTR-L
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Telephone | 917-742-8111
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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 | 011955-1
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License Number State | NY
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