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NPI 1780536631

NPI 1780536631 : LAYLAY MAR : HERKIMER, NY

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General NPI Number Information
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    NPI Number           |    1780536631
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    Entity Type          |    Individual 
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    Provider Name        |    LAYLAY MAR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/12/2026
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    352 GROS BLVD 
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    City                 |    HERKIMER
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    State                |    NY
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    Zip                  |    13350-1446
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    Country              |    US
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    Telephone            |    315-867-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    352 GROS BLVD 
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    City                 |    HERKIMER
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    State                |    NY
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    Zip                  |    13350-1446
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    Country              |    US
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    Telephone            |    315-867-2000
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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       |    030839
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    License Number State |    NY
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