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General NPI Number Information
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NPI Number | 1548482136
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Entity Type | Organization
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Legal Business Name | RENEE L OKOYE
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 270 DUFFY AVENUE SUITE G
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-935-3683
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Fax | 516-935-0365
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Provider Business Mailing Address
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Address Line | 270 DUFFY AVENUE SUITE G
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-935-3683
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Fax | 516-935-0365
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | RENEE L OKOYE
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Credential | OTR
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Telephone | 516-935-3683
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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 | 0691
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License Number State | NY
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