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General NPI Number Information
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NPI Number | 1205291499
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Entity Type | Individual
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Provider Name | CHAVA MENUCHA ANTEBY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/15/2015
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 23 OLYMPIA LN
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City | MONSEY
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State | NY
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Zip | 10952-2829
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Country | US
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Telephone | 845-357-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 99 UNION RD APT. K64
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City | SPRING VALLEY
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State | NY
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Zip | 10977-3400
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Country | US
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Telephone | 347-388-0389
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 019878
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License Number State | NY
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