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General NPI Number Information
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NPI Number | 1457891566
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Entity Type | Organization
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Legal Business Name | GAIL S STEPHENS
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 140 E 2ND ST APT 6E
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City | BROOKLYN
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State | NY
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Zip | 11218-1414
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Country | US
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Telephone | 917-776-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 140 E 2ND ST APT 6E
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City | BROOKLYN
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State | NY
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Zip | 11218-1414
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Country | US
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Telephone | 917-776-8939
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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 | GAIL VALIENTE
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Credential | OTRL
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Telephone | 917-776-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 0212571
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License Number State | NY
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