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NPI 1578602132

NPI 1578602132 : MRS. DEANNA M CHERO : COMMACK, NY

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General NPI Number Information
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    NPI Number           |    1578602132
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. DEANNA M CHERO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    10/31/2023
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Provider Practice Location Address
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    Address Line         |    29 PINEWOOD DR 
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    City                 |    COMMACK
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    State                |    NY
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    Zip                  |    11725-5612
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    Country              |    US
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    Telephone            |    631-499-1237
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24 WASHINGTON ST 
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    City                 |    BABYLON
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    State                |    NY
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    Zip                  |    11702-1818
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    Country              |    US
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    Telephone            |    631-539-8742
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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       |    014083
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    License Number State |    NY
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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       |    014083-1
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    License Number State |    NY
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