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General NPI Number Information
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NPI Number | 1205980117
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Entity Type | Individual
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Provider Name | EILEEN MARY LEWIS OTR
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 34 KELLY RIDGE RD
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City | CARMEL
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State | NY
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Zip | 10512-2005
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Country | US
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Telephone | 609-505-9765
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Fax |
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Provider Business Mailing Address
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Address Line | 34 KELLY RIDGE RD
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City | CARMEL
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State | NY
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Zip | 10512-2005
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Country | US
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Telephone | 609-505-9765
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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 | 46TR00169400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 46TR00169400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 019179
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 019179
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 019179
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 225XG0600X
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Taxonomy Name | Gerontology Occupational Therapist
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License Number | 019179
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 019179
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number | 46TR00169400
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License Number State | NJ
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Taxonomy #9
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 46TR00169400
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License Number State | NJ
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