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General NPI Number Information
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NPI Number | 1316812357
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Entity Type | Organization
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Legal Business Name | NEXUS REHAB OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 509 MERRICK RD STE 1
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-5436
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Country | US
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Telephone | 347-610-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 6419B 194TH LN
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-3982
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Country | US
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Telephone | 347-610-6297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KLEVER MOISES VASQUEZ ALVARADO
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Credential | OTR/L
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Telephone | 347-610-6297
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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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