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NPI 1730209008

NPI 1730209008 : JILL DENNISPEREZ OTRL : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1730209008
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    Entity Type          |    Individual 
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    Provider Name        |    JILL DENNISPEREZ OTRL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/30/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    525 E 68TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4870
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    Country              |    US
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    Telephone            |    212-746-1519
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    436 E 69TH ST APT 10D 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-5647
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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       |    13253
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225XN1300X
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    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
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    License Number       |    13253
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    License Number State |    NY
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