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General NPI Number Information
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NPI Number | 1316468242
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Entity Type | Organization
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Legal Business Name | SMILE A WHILE OCCUPATIONAL THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 100 STEVENS AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2600
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Country | US
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Telephone | 917-553-2906
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Fax |
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Provider Business Mailing Address
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Address Line | 318 S 1ST AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4204
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Country | US
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Telephone | 917-553-2906
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. JOANNE OATES OATES
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Credential | OTR/L
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Telephone | 917-553-2906
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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