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General NPI Number Information
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NPI Number | 1538623632
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Entity Type | Individual
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Provider Name | MARISSA SYDNEY BERNSTEIN MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 162 W 72ND ST FL 5
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City | NEW YORK
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State | NY
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Zip | 10023-3300
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Country | US
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Telephone | 646-230-8190
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E 47TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10017-2307
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Country | US
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Telephone | 908-892-7215
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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 | 023287
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License Number State | NY
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