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General NPI Number Information
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NPI Number | 1831239896
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Entity Type | Individual
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Provider Name | JASON JON ZAFFINO OTR
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1303 ROANOKE AVE
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City | RIVERHEAD
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State | NY
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Zip | 11901-2748
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Country | US
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Telephone | 631-369-3694
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Fax | 631-369-3694
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Provider Business Mailing Address
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Address Line | 295 PRIVATE ROAD #27
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City | SOUTHOLD
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State | NY
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Zip | 11971-2162
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Country | US
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Telephone | 631-375-2720
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Fax | 631-369-3694
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 009043-1
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License Number State | NY
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