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General NPI Number Information
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NPI Number | 1629317342
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Entity Type | Individual
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Provider Name | SUSAN CHOI MS, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 15050 14TH RD
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City | WHITESTONE
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State | NY
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Zip | 11357-2609
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Country | US
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Telephone | 631-707-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BRUSH PL
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City | HUNTINGTON
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State | NY
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Zip | 11743-6404
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Country | US
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Telephone |
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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 | 016991-1
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License Number State | NY
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