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General NPI Number Information
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NPI Number | 1740056340
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Entity Type | Individual
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Provider Name | NIKOLA SANGULIN OT
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Gender | Male
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 801 MERRICK AVE
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City | EAST MEADOW
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State | NY
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Zip | 11554
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Country | US
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Telephone | 516-393-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HUNTINGTON QUADRANGLE 103N
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City | MELVILLE
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State | NY
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Zip | 11747
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Country | US
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Telephone | 516-321-7526
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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 | 028391
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License Number State | NY
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