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General NPI Number Information
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NPI Number | 1245541077
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Entity Type | Organization
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Legal Business Name | EVAN M LUDIN HAND AND OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 8 ELDER DR
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City | COMMACK
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State | NY
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Zip | 11725-2320
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Country | US
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Telephone | 516-650-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 8 ELDER DR
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City | COMMACK
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State | NY
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Zip | 11725-2320
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Country | US
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Telephone | 516-650-3555
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Fax |
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Authorized Official
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Title or Position | OWNER / PROPRIETOR
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Name | EVAN M LUDIN
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Credential | MS, OTR/L, CHT
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Telephone | 516-650-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 009005-1
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License Number State | NY
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