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General NPI Number Information
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NPI Number | 1831845049
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Entity Type | Individual
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Provider Name | DAVID PEREIRA TERRERI OTR
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Gender | Male
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 586 W 177TH ST
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City | NEW YORK
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State | NY
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Zip | 10033-7214
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Country | US
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Telephone | 212-568-2757
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Fax |
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Provider Business Mailing Address
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Address Line | 133 LAWRENCE AVE
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City | HASBROUCK HEIGHTS
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State | NJ
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Zip | 07604-1425
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Country | US
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Telephone | 973-219-7503
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 026539
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License Number State | NY
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