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General NPI Number Information
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NPI Number | 1306497300
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Entity Type | Individual
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Provider Name | ELIZA ARANETA ONG MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 09/23/2019
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Provider Practice Location Address
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Address Line | 777 MARYVALE DR
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-2712
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Country | US
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Telephone | 716-631-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 ELMWOOD AVE APT 112
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City | BUFFALO
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State | NY
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Zip | 14207-2469
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Country | US
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Telephone | 914-263-0904
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 023828
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License Number State | NY
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