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General NPI Number Information
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NPI Number | 1528796463
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Entity Type | Organization
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Legal Business Name | SENSORY FILTERS, LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 190 GARTH RD APT 6Q
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City | SCARSDALE
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State | NY
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Zip | 10583-3817
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Country | US
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Telephone | 917-528-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 190 GARTH RD APT 6Q
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City | SCARSDALE
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State | NY
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Zip | 10583-3817
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Country | US
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Telephone |
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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 | DR. MIMI MAMO TESSEMA
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Credential | OTD, OTR/L
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Telephone | 917-528-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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