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General NPI Number Information
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NPI Number | 1790845329
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Entity Type | Organization
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Legal Business Name | CELESTIAL OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 A CUTTERMILL ROAD
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-482-6868
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Fax | 516-482-6066
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Provider Business Mailing Address
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Address Line | 65 A CUTTERMILL ROAD
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-482-6868
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Fax | 516-482-6066
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Authorized Official
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Title or Position | OTR L
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Name | MARIAM KAPLIN
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Credential |
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Telephone | 516-482-6868
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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 | 0071521
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License Number State | NY
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