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General NPI Number Information
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NPI Number | 1245753508
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Entity Type | Organization
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Legal Business Name | FIT TO FUNCTION OCCUPATIONAL THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 256 W OLD COUNTRY RD UNIT A
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City | HICKSVILLE
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State | NY
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Zip | 11801-4034
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Country | US
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Telephone | 631-355-0882
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Fax | 866-850-4553
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Provider Business Mailing Address
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Address Line | 11 CAPRI CT
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City | DIX HILLS
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State | NY
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Zip | 11746-6400
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Country | US
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Telephone | 631-355-0882
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Fax | 866-850-4553
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Authorized Official
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Title or Position | OWNER/ OCCUPATIONAL THERAPIST
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Name | SANGEETA AHUJA
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Credential | OTR
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Telephone | 631-355-0882
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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 | 115630
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License Number State | NY
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