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General NPI Number Information
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NPI Number | 1255063376
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Entity Type | Organization
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Legal Business Name | WORK IN PROGRESS OT LLC
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 515 MADISON AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10022-5403
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Country | US
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Telephone | 212-752-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 503 ELM CT
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City | NORWOOD
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State | NJ
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Zip | 07648-2009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLY MICHELLE WEINER
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Credential | OT
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Telephone | 201-983-3981
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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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