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General NPI Number Information
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NPI Number | 1376030726
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Entity Type | Organization
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Legal Business Name | LESLIE DALEY OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 2231 BROADWAY STE 3
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City | NEW YORK
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State | NY
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Zip | 10024-6260
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Country | US
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Telephone | 917-331-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 328 W 89TH ST APT 11
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City | NEW YORK
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State | NY
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Zip | 10024-2168
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Country | US
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Telephone | 917-331-6588
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | LESLIE A DALEY
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Credential | OTR/L
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Telephone | 212-787-3696
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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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