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General NPI Number Information
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NPI Number | 1639769185
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Entity Type | Organization
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Legal Business Name | LIVABLE OT SERVICES PLLC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 5 RAVENSWOOD CT
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City | WEST NYACK
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State | NY
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Zip | 10994-1013
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Country | US
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Telephone | 917-992-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 228 E ROUTE 59 # 236
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City | NANUET
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State | NY
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Zip | 10954-2905
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Country | US
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Telephone | 917-992-1097
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | MRS. AISELA ULI
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Credential | OTR/L
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Telephone | 917-992-1097
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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 |
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License Number State |
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