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NPI 1447710561

NPI 1447710561 : THERAPY NEST PLLC : RYE BROOK, NY

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General NPI Number Information
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    NPI Number           |    1447710561
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPY NEST PLLC 
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Dates
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    Enumeration Date     |    03/24/2019
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    Last Update Date     |    03/24/2019
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Provider Practice Location Address
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    Address Line         |    14 RYE RIDGE PLZ STE 242 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573-2858
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    Country              |    US
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    Telephone            |    914-222-1326
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14 RYE RIDGE PLZ STE 242 
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573-2858
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    Country              |    US
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    Telephone            |    914-222-1326
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING MEMBER
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    Name                 |     RACHEL  FLEMING 
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    Credential           |    
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    Telephone            |    914-222-1326
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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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