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NPI 1649087040

NPI 1649087040 : SARA NEES OT : CORTLANDT MANOR, NY

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General NPI Number Information
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    NPI Number           |    1649087040
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    Entity Type          |    Individual 
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    Provider Name        |    SARA NEES OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2024
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    Last Update Date     |    12/18/2024
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Provider Practice Location Address
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    Address Line         |    2050 E MAIN ST STE 4 
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    City                 |    CORTLANDT MANOR
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    State                |    NY
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    Zip                  |    10567-2502
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    Country              |    US
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    Telephone            |    914-736-9502
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 MAYBROOK RD STE L 
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    City                 |    CAMPBELL HALL
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    State                |    NY
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    Zip                  |    10916-2741
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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       |    029515
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    License Number State |    NY
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