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General NPI Number Information
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NPI Number | 1376860726
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Entity Type | Organization
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Legal Business Name | PAWS 4 PEDS PT & OT PLLC
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 04/26/2010
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Provider Practice Location Address
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Address Line | 801 E PARK AVE
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City | LONG BEACH
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State | NY
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Zip | 11561-2709
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Country | US
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Telephone | 516-889-7297
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Fax |
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Provider Business Mailing Address
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Address Line | 801 E PARK AVE
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City | LONG BEACH
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State | NY
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Zip | 11561-2709
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Country | US
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Telephone | 516-889-7297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MIRIAM APPLEMAN
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Credential | MS,OTR/L
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Telephone | 516-889-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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