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General NPI Number Information
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NPI Number | 1629940994
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Entity Type | Organization
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Legal Business Name | D AND H PT OT PLLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 359 W 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10011-2202
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Country | US
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Telephone | 718-223-4299
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Fax | 800-969-0292
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Provider Business Mailing Address
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Address Line | 174 BAY 29TH ST BAY 29TH
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City | BROOKLYN
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State | NY
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Zip | 11214-5020
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Country | US
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Telephone | 718-223-4299
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Fax | 800-969-0292
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Authorized Official
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Title or Position | OWNER
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Name | DMITRY SHEVCHENKO
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Credential |
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Telephone | 718-223-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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