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General NPI Number Information
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NPI Number | 1548565146
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Entity Type | Individual
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Provider Name | HEATHER ELKIN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2011
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 144 BEACH 4TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5601
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Country | US
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Telephone | 516-287-4969
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 HIGHLAND PL
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City | WOODMERE
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State | NY
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Zip | 11598-1112
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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 |
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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 | 016391
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License Number State | NY
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