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General NPI Number Information
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NPI Number | 1750877783
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Entity Type | Organization
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Legal Business Name | MEANINGFUL OCCUPATIONAL THERAPY, P.C.
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 21405 18TH AVE APT 3
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City | BAYSIDE
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State | NY
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Zip | 11360-1604
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Country | US
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Telephone | 718-690-0566
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Fax |
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Provider Business Mailing Address
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Address Line | 21405 18TH AVE APT 3
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City | BAYSIDE
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State | NY
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Zip | 11360-1604
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Country | US
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Telephone | 718-690-0566
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARRIE MA
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Credential | OTR/L
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Telephone | 718-690-0566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 091380
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License Number State | NY
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