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General NPI Number Information
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NPI Number | 1245501485
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Entity Type | Organization
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Legal Business Name | RYAN OCCUPATIONAL THERAPY VISION REHABILITATION PLLC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 4 ORCHARD HILLS RD
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City | ULSTER PARK
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State | NY
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Zip | 12487-5213
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Country | US
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Telephone | 845-383-1529
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Fax | 845-383-1529
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Provider Business Mailing Address
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Address Line | 4 ORCHARD HILLS RD
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City | ULSTER PARK
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State | NY
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Zip | 12487-5213
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Country | US
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Telephone | 845-383-1529
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Fax | 845-383-1529
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | NANCY RYAN
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Credential | OTR
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Telephone | 845-383-1529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number | 0026161
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License Number State | NY
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