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NPI 1548595358

NPI 1548595358 : BARBARA JOAN LEVY OTR/L : NEWTOWN, CT

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General NPI Number Information
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    NPI Number           |    1548595358
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA JOAN LEVY OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2009
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    Last Update Date     |    01/29/2019
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Provider Practice Location Address
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    Address Line         |    3 PEBBLE RD 
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    City                 |    NEWTOWN
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    State                |    CT
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    Zip                  |    06470-2229
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    Country              |    US
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    Telephone            |    203-364-0604
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18 CENTER ST 
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    City                 |    SHELTON
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    State                |    CT
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    Zip                  |    06484-3104
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    Country              |    US
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    Telephone            |    203-513-8424
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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       |    000485
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    License Number State |    CT
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