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General NPI Number Information
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NPI Number | 1407093545
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Entity Type | Individual
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Provider Name | CHAYA C GOTTESMAN OT/L
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 127 W 82ND ST 1B
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City | NEW YORK
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State | NY
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Zip | 10024-5503
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Country | US
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Telephone | 212-362-6243
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Fax | 212-362-6243
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Provider Business Mailing Address
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Address Line | 127 W 82ND ST 1B
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City | NEW YORK
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State | NY
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Zip | 10024-5503
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Country | US
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Telephone | 212-362-6243
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Fax | 212-362-6243
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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 | 009070-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 009070-1
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License Number State | NY
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