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General NPI Number Information
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NPI Number | 1801360839
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Entity Type | Organization
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Legal Business Name | THRIVE PHYSICAL AND OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 267 EDGECOMBE AVE APT 2L
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City | NEW YORK
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State | NY
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Zip | 10031-3003
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Country | US
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Telephone | 917-589-8242
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Fax | 646-513-2749
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Provider Business Mailing Address
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Address Line | 267 EDGECOMBE AVE APT 2L
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City | NEW YORK
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State | NY
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Zip | 10031-3003
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Country | US
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Telephone | 917-589-8242
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Fax | 646-513-2749
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Authorized Official
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Title or Position | CO-OWNER
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Name | AMY MAK
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Credential | OTR/L
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Telephone | 917-589-8242
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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