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General NPI Number Information
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NPI Number | 1831748995
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Entity Type | Organization
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Legal Business Name | GERARD MATTHEW OT PC
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 8 WINSTON PLACE
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City | MARLBORO
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State | NY
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Zip | 12542
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Country | US
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Telephone | 646-242-4789
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Fax |
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Provider Business Mailing Address
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Address Line | 8 WINSTON PLACE
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City | MARLBORO
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State | NY
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Zip | 12542
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Country | US
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Telephone | 646-242-4789
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Fax |
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Authorized Official
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Title or Position | OTR
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Name | GERARD D. MATTHEW
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Credential | MS., OTR/L
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Telephone | 646-242-4789
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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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