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General NPI Number Information
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NPI Number | 1457506966
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Entity Type | Individual
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Provider Name | YOLANDA CECILIA DELGADO OTR
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 9745 QUEENS BLVD SUITE 900
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City | REGO PARK
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State | NY
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Zip | 11374-2116
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Country | US
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Telephone | 718-830-9274
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Fax | 718-830-9276
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Provider Business Mailing Address
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Address Line | 135 05 HOOVER AVE 6C
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City | JAMAICA
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State | NY
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Zip | 11435
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Country | US
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Telephone | 917-608-8352
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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 | 010433-1
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License Number State | NY
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