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General NPI Number Information
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NPI Number | 1427170646
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Entity Type | Individual
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Provider Name | VITTORIA A. MCCARTHY C.O.T.A.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 5225 NESCONSET HWY SUITE 30
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-2053
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Country | US
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Telephone | 631-473-4281
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Fax |
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Provider Business Mailing Address
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Address Line | 28 ARMON DR
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City | BETHPAGE
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State | NY
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Zip | 11714-2302
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Country | US
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Telephone | 516-935-3015
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 003792-1
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License Number State | NY
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