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General NPI Number Information
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NPI Number | 1831083195
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Entity Type | Individual
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Provider Name | LIBBY KAHAN BERMAN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 290 LENOX AVE LOWR LEVEL
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City | NEW YORK
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State | NY
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Zip | 10027-4991
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Country | US
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Telephone | 917-594-3619
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E 83RD ST APT 4D
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City | NEW YORK
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State | NY
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Zip | 10028-4284
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Country | US
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Telephone | 516-680-2552
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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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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License Number | 027460
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License Number State | NY
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