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General NPI Number Information
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NPI Number | 1841454022
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Entity Type | Individual
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Provider Name | MARY E RISPOLI OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 309 E 45TH ST
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City | NEW YORK
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State | NY
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Zip | 10017-3433
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Country | US
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Telephone | 914-629-2915
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Fax |
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Provider Business Mailing Address
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Address Line | 222 E 80TH ST 8A
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City | NEW YORK
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State | NY
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Zip | 10075-0558
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Country | US
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Telephone | 212-585-0218
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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 | 011018-1
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License Number State | NY
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