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General NPI Number Information
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NPI Number | 1437450947
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Entity Type | Organization
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Legal Business Name | HANDS ON OCCUPATIONAL THERAPY AND PT PLLC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 20801 NORTHERN BLVD 3RD FLOOR
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City | BAYSIDE
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State | NY
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Zip | 11361-3118
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Country | US
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Telephone | 718-224-2867
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Fax | 718-224-3782
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Provider Business Mailing Address
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Address Line | 3270 31ST ST
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City | ASTORIA
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State | NY
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Zip | 11106-2643
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Country | US
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Telephone | 718-707-6970
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Fax | 718-707-6977
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Authorized Official
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Title or Position | OWNER
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Name | DIMITRIOS KOSTOPOULOS
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Credential | PT, PHD, DSC
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Telephone | 718-224-2867
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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 |
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License Number State |
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