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General NPI Number Information
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NPI Number | 1235055864
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Entity Type | Individual
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Provider Name | ASHLEY NOVAK OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1880 LANCASTER ST
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City | SCHENECTADY
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State | NY
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Zip | 12308-1533
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Country | US
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Telephone | 518-881-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 27A PHEASANT RUN
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City | WATERFORD
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State | NY
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Zip | 12188-1000
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Country | US
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Telephone | 518-728-2602
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 031221
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License Number State | NY
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