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General NPI Number Information
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NPI Number | 1407141674
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Entity Type | Organization
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Legal Business Name | ABILITY OT, PT, SLP THERAPY, PLLC
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 3514 AVENUE S
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City | BROOKLYN
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State | NY
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Zip | 11234-4828
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Country | US
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Telephone | 718-336-3832
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Fax | 718-336-2392
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Provider Business Mailing Address
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Address Line | 3514 AVENUE S
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City | BROOKLYN
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State | NY
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Zip | 11234-4828
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Country | US
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Telephone | 718-336-3832
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Fax | 718-336-2392
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISAAC MATTHEW JACOBOWITZ
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Credential | PHYSICAL THERAPIST
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Telephone | 718-336-3832
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 014648-1
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License Number State | NY
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