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General NPI Number Information
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NPI Number | 1831469626
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Entity Type | Organization
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Legal Business Name | KIDAPILLAR OCCUPATIONAL THERAPY, PC
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 149-23 SANFORD AVE., SUITE A1
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-813-4770
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Fax | 516-482-1257
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Provider Business Mailing Address
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Address Line | 258-05 PEMBROKE AVE.,
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City | GREAT NECK
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State | NY
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Zip | 11020
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Country | US
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Telephone | 718-813-4770
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Fax | 516-482-1257
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. FLORA TSANG
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Credential | MA, OTR/L
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Telephone | 718-813-4770
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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 | 005017
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License Number State | NY
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