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NPI 1760832307

NPI 1760832307 : CHRISTINE CARY MS, OTR/L : CASTLETON, NY

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General NPI Number Information
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    NPI Number           |    1760832307
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE CARY MS, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2016
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    Last Update Date     |    06/14/2016
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Provider Practice Location Address
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    Address Line         |    1477 S SCHODACK RD 
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    City                 |    CASTLETON
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    State                |    NY
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    Zip                  |    12033-9644
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    Country              |    US
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    Telephone            |    518-477-7103
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    689 ELM AVE 
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    City                 |    SELKIRK
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    State                |    NY
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    Zip                  |    12158-1211
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    Country              |    US
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    Telephone            |    518-894-0678
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    020492-1
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    License Number State |    NY
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