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General NPI Number Information
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NPI Number | 1568331163
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Entity Type | Individual
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Provider Name | ITA NECHAMA KAPLAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 924 NEW HAMPSHIRE AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5958
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Country | US
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Telephone | 347-309-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HUNTER DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4756
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Country | US
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Telephone | 862-213-4427
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 46TR01268300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 46TR01268300
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License Number State | NJ
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