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General NPI Number Information
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NPI Number | 1851584825
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Entity Type | Organization
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Legal Business Name | ADVANCED OCCUPATIONAL THERAPY SERVICES, P.C.
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 33 PIRATE ST
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City | RIVERHEAD
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State | NY
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Zip | 11901-1028
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Country | US
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Telephone | 516-885-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 33 PIRATE ST
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City | RIVERHEAD
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State | NY
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Zip | 11901-1028
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Country | US
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Telephone | 516-885-2336
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF ADVANCED OT SERVICES
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Name | MS. MOLLY ANNE PIEKUT
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Credential | OTR
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Telephone | 516-885-2336
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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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