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General NPI Number Information
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NPI Number | 1225658933
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Entity Type | Organization
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Legal Business Name | LYMPHADEMA CARE LLC
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 4 MURRAY DR
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City | AIRMONT
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State | NY
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Zip | 10952-3814
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Country | US
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Telephone | 845-357-4117
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Fax |
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Provider Business Mailing Address
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Address Line | 4 MURRAY DR
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City | AIRMONT
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State | NY
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Zip | 10952-3814
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Country | US
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Telephone | 845-357-4117
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Fax |
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Authorized Official
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Title or Position | MEM.
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Name | RACHEL SCHARF
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Credential | MS/OTR/L,CLT
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Telephone | 845-270-3336
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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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