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General NPI Number Information
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NPI Number | 1588999510
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Entity Type | Organization
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Legal Business Name | L.I. OCCUPATIONAL THERAPY SERVICES
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Dates
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Enumeration Date | 10/08/2009
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 5500 MERRICK RD
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City | MASSAPEQUA
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State | NY
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Zip | 11758-6231
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Country | US
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Telephone | 516-799-8599
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 PARK BLVD SUITE 2B
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-2743
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Country | US
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Telephone | 516-799-8599
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MRS. RITA MARIE LEVEY
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Credential | OTR/L
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Telephone | 516-799-8599
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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 | 006487
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License Number State | NY
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