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General NPI Number Information
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NPI Number | 1386067940
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Entity Type | Individual
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Provider Name | LAINA KAROSIC OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 38 W 32ND ST SUITE 604
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City | NEW YORK
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State | NY
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Zip | 10001-3816
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Country | US
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Telephone | 814-343-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 121 NATURES WAY
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City | WINDBER
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State | PA
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Zip | 15963-3636
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Country | US
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Telephone |
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 018585
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License Number State | NY
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