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NPI 1194045310

NPI 1194045310 : CHRISTINA MARTHA DELGAIS MA, OTR/L : EAST WILLISTON, NY

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General NPI Number Information
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    NPI Number           |    1194045310
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA MARTHA DELGAIS MA, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2010
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    Last Update Date     |    06/10/2010
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Provider Practice Location Address
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    Address Line         |    33 MERITORIA DR 
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    City                 |    EAST WILLISTON
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    State                |    NY
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    Zip                  |    11596-2004
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    Country              |    US
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    Telephone            |    516-741-1477
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 MERITORIA DRIVE 
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    City                 |    EAST WILLISTON
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    State                |    NY
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    Zip                  |    11596
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    Country              |    US
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    Telephone            |    516-741-1477
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    008722-1
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    License Number State |    NY
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