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General NPI Number Information
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NPI Number | 1457506339
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Entity Type | Individual
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Provider Name | LORRAINE MARIE DENICHILO OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 1075 CENTRAL PARK AVE SUITE 409
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City | SCARSDALE
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State | NY
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Zip | 10583-3242
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Country | US
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Telephone | 914-722-6030
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Fax | 914-722-6037
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Provider Business Mailing Address
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Address Line | 576 FARM TO MARKET RD
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City | BREWSTER
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State | NY
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Zip | 10509
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Country | US
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Telephone | 914-572-9666
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 013851-1
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License Number State | NY
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