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General NPI Number Information
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NPI Number | 1376858647
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Entity Type | Individual
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Provider Name | RACHEL GAIL CHAIET OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 606 OLD ROUTE 17
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City | MONTICELLO
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State | NY
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Zip | 12701-7013
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Country | US
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Telephone | 845-858-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 28 DIESCHER DR
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City | MONGAUP VALLEY
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State | NY
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Zip | 12762-5000
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Country | US
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Telephone | 570-228-8799
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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 | 016230-1
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License Number State | NY
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