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General NPI Number Information
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NPI Number | 1669817813
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Entity Type | Organization
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Legal Business Name | CJP THERAPY LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 11416 126TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-2124
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Country | US
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Telephone | 347-610-0980
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Fax |
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Provider Business Mailing Address
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Address Line | 11416 126TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-2124
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Country | US
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Telephone | 347-610-0980
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | CHARLES JEAN-PAUL
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Credential | OTR/L
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Telephone | 347-610-0980
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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 | 016779
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License Number State | NY
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