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General NPI Number Information
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NPI Number | 1427402247
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Entity Type | Individual
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Provider Name | SALLY ATLAN OT
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Gender | Female
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 8829 FORT HAMILTON PKWY APT D01
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City | BROOKLYN
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State | NY
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Zip | 11209-6013
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Country | US
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Telephone | 646-379-7014
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Fax | 212-601-2671
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Provider Business Mailing Address
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Address Line | 1539 E 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-7105
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Country | US
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Telephone | 646-379-7014
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 020507-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 020507-1
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License Number State | NY
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