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General NPI Number Information
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NPI Number | 1558735449
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Entity Type | Organization
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Legal Business Name | GROWING HANDS OCCUPATIONAL THERAPY LLC
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 90 STATE ST SUITE 700 OFFICE 40
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City | ALBANY
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State | NY
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Zip | 12207-1716
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Country | US
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Telephone | 347-387-8708
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Fax |
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Provider Business Mailing Address
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Address Line | 90 STATE ST SUITE 700 OFFICE 40
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City | ALBANY
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State | NY
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Zip | 12207-1716
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Country | US
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Telephone | 345-387-8708
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MISS REGINE ARISTIDE
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Credential | MS,OTR/L
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Telephone | 347-387-8708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 014204
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 014204
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License Number State | NY
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