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NPI 1700604600

NPI 1700604600 : JANET ANNA SAJU MS, OTR/L : WEST BABYLON, NY

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General NPI Number Information
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    NPI Number           |    1700604600
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    Entity Type          |    Individual 
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    Provider Name        |    JANET ANNA SAJU MS, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2024
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    Last Update Date     |    09/30/2024
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Provider Practice Location Address
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    Address Line         |    SUNRISE OF WEST BABYLON 580 MONTAUK HWY
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    City                 |    WEST BABYLON
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    State                |    NY
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    Zip                  |    11704
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    Country              |    US
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    Telephone            |    516-225-7032
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 HAWK LN 
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    City                 |    LEVITTOWN
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    State                |    NY
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    Zip                  |    11756-4918
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    Country              |    US
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    Telephone            |    516-225-7032
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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       |    028083-01
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    License Number State |    NY
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