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General NPI Number Information
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NPI Number | 1285773499
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Entity Type | Individual
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Provider Name | MELISSA SILVESTRO OTRL
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | 12 FAIRLANE DR
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City | SELDEN
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State | NY
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Zip | 11784-1717
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Country | US
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Telephone | 516-860-4477
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Fax | 631-846-9440
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Provider Business Mailing Address
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Address Line | 235 BLUE POINT AVE
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City | BLUE POINT
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State | NY
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Zip | 11715-1261
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Country | US
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Telephone | 516-860-4477
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Fax | 631-846-9440
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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 | 011143
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License Number State | NY
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