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General NPI Number Information
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NPI Number | 1316976418
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Entity Type | Individual
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Provider Name | MICHAEL SARACENO OTR/L, CHT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 09/13/2020
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Provider Practice Location Address
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Address Line | 2372 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6607
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Country | US
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Telephone | 718-698-9800
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Fax | 718-698-9820
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Provider Business Mailing Address
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Address Line | 334 176TH AVENUE CIR
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City | REDINGTON SHORES
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State | FL
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Zip | 33708-1225
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Country | US
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Telephone | 917-698-7584
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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 | 0090981
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 0090981
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 0090981
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT19566
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License Number State | FL
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