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NPI 1396536025

NPI 1396536025 : KYLE BATOHIE OTR/L : TUCKAHOE, NY

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General NPI Number Information
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    NPI Number           |    1396536025
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    Entity Type          |    Individual 
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    Provider Name        |    KYLE BATOHIE OTR/L
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/13/2025
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    115 MAIN ST STE 202 
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    City                 |    TUCKAHOE
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    State                |    NY
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    Zip                  |    10707-2950
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    Country              |    US
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    Telephone            |    914-961-1010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 WOODSTOCK DR 
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    City                 |    LINWOOD
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    State                |    NJ
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    Zip                  |    08221-1637
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    030091
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    License Number State |    NY
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