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General NPI Number Information
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NPI Number | 1447941752
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Entity Type | Organization
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Legal Business Name | POWER OT INC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 522 ALLEN RD
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City | WOODMERE
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State | NY
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Zip | 11598-1506
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Country | US
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Telephone | 917-756-4277
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Fax |
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Provider Business Mailing Address
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Address Line | 16815 JEWEL AVE
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-3216
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Country | US
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Telephone | 917-756-4277
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | JACQUELINE DINA DAVIDOV
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Credential | OT
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Telephone | 917-756-4277
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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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