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General NPI Number Information
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NPI Number | 1548028939
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Entity Type | Organization
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Legal Business Name | VORTEX OCCUPATIONAL THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 24640 VAN ZANDT AVE
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City | LITTLE NECK
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State | NY
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Zip | 11362-1239
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Country | US
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Telephone | 212-495-9799
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Fax |
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Provider Business Mailing Address
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Address Line | 118 CARR DR APT 206
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City | GLENDALE
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State | CA
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Zip | 91205-1547
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Country | US
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Telephone | 212-495-9799
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. EDDIE CHU
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Credential | OTD, OTR/L
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Telephone | 212-495-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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