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General NPI Number Information
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NPI Number | 1790017747
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Entity Type | Individual
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Provider Name | MRS. STEPHANIE LEJTMAN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 1301 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3119
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Country | US
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Telephone | 212-426-3470
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Fax |
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Provider Business Mailing Address
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Address Line | 387 BRIARCLIFF RD
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City | TEANECK
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State | NJ
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Zip | 07666-3006
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Country | US
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Telephone | 201-833-9576
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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 | 005661-1
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License Number State | NY
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