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General NPI Number Information
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NPI Number | 1205614971
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Entity Type | Organization
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Legal Business Name | ACHIEVE AT HOME PHYSICAL AND OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 25 STRATHMORE RD
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City | GREAT NECK
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State | NY
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Zip | 11023-1035
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Country | US
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Telephone | 917-771-7290
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Fax | 516-447-4719
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Provider Business Mailing Address
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Address Line | 25 STRATHMORE RD
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City | GREAT NECK
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State | NY
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Zip | 11023-1035
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Country | US
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Telephone | 917-771-7290
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Fax | 516-447-4719
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Authorized Official
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Title or Position | OWNER
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Name | AMIR AMRAMI
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Credential | PT, DPT
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Telephone | 917-771-7290
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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 |
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License Number State |
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Taxonomy #2
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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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