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General NPI Number Information
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NPI Number | 1609642503
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Entity Type | Individual
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Provider Name | MARK ARROZ OTR
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Gender | Male
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 2914 LINCOLN AVE
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City | OCEANSIDE
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State | NY
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Zip | 11572-2141
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Country | US
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Telephone | 646-525-7128
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Fax |
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Provider Business Mailing Address
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Address Line | 934 CLAY ST
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City | BALDWIN
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State | NY
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Zip | 11510-4406
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Country | US
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Telephone | 646-525-7128
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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 | 021082
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License Number State | NY
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